Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $151.36 / $263.03	Facility		$52.48	$151.36	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $281.84	Professional		$40.74	$51.29	$281.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $269.15 / $5,011.87	Facility		$199.53	$269.15	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $87.10 / $162.18	Facility		$37.15	$87.10	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $64.57 / $83.18	Professional		$26.30	$64.57	$83.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $81.28	Professional		$26.30	$33.11	$81.28
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $95.50	Professional		$46.77	$54.95	$95.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $54.95	Professional		$33.11	$33.11	$54.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $151.36 / $269.15	Facility		$52.48	$151.36	$269.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $229.09	Professional		$39.81	$54.95	$229.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $61.66 / $61.66	Facility		$54.95	$61.66	$61.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $61.66 / $97.72	Professional		$12.59	$61.66	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $54.95 / $66.07	Facility		$30.90	$54.95	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $83.18	Professional		$23.44	$33.11	$83.18