Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $234.42 / $398.11	Facility		$85.11	$234.42	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $77.62 / $165.96	Professional		$67.61	$77.62	$165.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $489.78 / $5,011.87	Facility		$371.54	$489.78	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $141.25 / $309.03	Facility		$61.66	$141.25	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $102.33 / $151.36	Professional		$56.23	$102.33	$151.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $131.83	Professional		$42.66	$58.88	$131.83
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $158.49	Professional		$72.44	$91.20	$158.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $229.09 / $407.38	Facility		$85.11	$229.09	$407.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $331.13	Professional		$67.61	$85.11	$331.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $95.50 / $95.50	Facility		$91.20	$95.50	$95.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $100.00	Professional		$91.20	$95.50	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $91.20 / $109.65	Facility		$61.66	$91.20	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $138.04	Professional		$40.74	$54.95	$138.04