Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $147.91 / $257.04	Facility		$43.65	$147.91	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $354.81	Professional		$38.90	$47.86	$354.81
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $263.03 / $5,011.87	Facility		$194.98	$263.03	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $89.13	Professional		$42.66	$42.66	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $83.18 / $158.49	Facility		$35.48	$83.18	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $61.66 / $81.28	Professional		$25.70	$61.66	$81.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.70 / $79.43	Professional		$25.12	$25.70	$79.43
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $93.33	Professional		$45.71	$53.70	$93.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $251.19	Facility		$144.54	$144.54	$251.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $32.36	Professional		$30.20	$32.36	$32.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $147.91 / $257.04	Facility		$38.90	$147.91	$257.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $223.87	Professional		$38.02	$53.70	$223.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $60.26	Facility		$48.98	$48.98	$60.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $60.26	Professional		$48.98	$48.98	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $53.70 / $64.57	Facility		$30.20	$53.70	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $81.28	Professional		$22.91	$32.36	$81.28