Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $741.31 / $1,202.26	Facility		$251.19	$741.31	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $229.09 / $457.09	Professional		$89.13	$229.09	$457.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $707.95 / $5,011.87	Facility		$537.03	$707.95	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $416.87 / $831.76	Facility		$186.21	$416.87	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $147.91 / $407.38	Professional		$54.95	$147.91	$407.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $416.87	Professional		$114.82	$134.90	$416.87
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $489.78	Professional		$107.15	$199.53	$489.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $707.95 / $1,202.26	Facility		$251.19	$707.95	$1,202.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $239.88 / $831.76	Professional		$114.82	$239.88	$831.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $281.84	Facility		$144.54	$144.54	$281.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $478.63	Professional		$144.54	$144.54	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $281.84 / $338.84	Facility		$141.25	$281.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $158.49 / $338.84	Professional		$66.07	$158.49	$338.84