Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $426.58 / $724.44	Facility		$154.88	$426.58	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $302.00	Professional		$109.65	$134.90	$302.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $954.99 / $5,011.87	Facility		$707.95	$954.99	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $134.90	Professional		$128.82	$128.82	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $251.19 / $562.34	Facility		$109.65	$251.19	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $177.83 / $245.47	Professional		$87.10	$177.83	$245.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $239.88	Professional		$77.62	$109.65	$239.88
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $288.40	Professional		$141.25	$165.96	$288.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $416.87 / $724.44	Facility		$154.88	$416.87	$724.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $588.84	Professional		$114.82	$154.88	$588.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $190.55 / $190.55	Facility		$165.96	$190.55	$190.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $190.55 / $190.55	Professional		$165.96	$190.55	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $165.96 / $199.53	Facility		$91.20	$165.96	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $251.19	Professional		$69.18	$100.00	$251.19