Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $181.97 / $295.12	Facility		$63.10	$181.97	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $123.03	Professional		$50.12	$57.54	$123.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $467.74 / $5,011.87	Facility		$354.81	$467.74	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $66.07	Professional		$52.48	$52.48	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $104.71 / $229.09	Facility		$44.67	$104.71	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $69.18 / $100.00	Professional		$33.88	$69.18	$100.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $97.72	Professional		$31.62	$39.81	$97.72
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $75.86 / $117.49	Professional		$67.61	$75.86	$117.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $177.83 / $302.00	Facility		$63.10	$177.83	$302.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $245.47	Professional		$50.12	$63.10	$245.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $93.33 / $93.33	Facility		$67.61	$93.33	$93.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $691.83	Professional		$67.61	$93.33	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $67.61 / $81.28	Facility		$44.67	$67.61	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $43.65 / $117.49	Professional		$28.18	$43.65	$117.49