Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $281.84 / $446.68	Facility		$95.50	$281.84	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $302.00	Professional		$77.62	$89.13	$302.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $724.44 / $5,011.87	Facility		$549.54	$724.44	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $102.33	Professional		$79.43	$79.43	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $158.49 / $354.81	Facility		$69.18	$158.49	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $117.49 / $154.88	Professional		$57.54	$117.49	$154.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $147.91	Professional		$47.86	$60.26	$147.91
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $177.83	Professional		$102.33	$114.82	$177.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $269.15 / $457.09	Facility		$95.50	$269.15	$457.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $426.58	Professional		$75.86	$97.72	$426.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $147.91 / $416.87	Facility		$48.98	$147.91	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $147.91 / $416.87	Professional		$48.98	$147.91	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $102.33 / $123.03	Facility		$69.18	$102.33	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $177.83	Professional		$46.77	$67.61	$177.83