Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $457.09 / $741.31	Facility		$165.96	$457.09	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $229.09	Professional		$114.82	$144.54	$229.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $851.14 / $5,011.87	Facility		$645.65	$851.14	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $288.40 / $602.56	Facility		$120.23	$288.40	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $169.82 / $263.03	Professional		$77.62	$169.82	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $257.04	Professional		$83.18	$104.71	$257.04
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $309.03	Professional		$131.83	$151.36	$309.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $446.68 / $741.31	Facility		$165.96	$446.68	$741.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $524.81	Professional		$117.49	$151.36	$524.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $177.83 / $1,148.15	Facility		$48.98	$177.83	$1,148.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $177.83 / $1,148.15	Professional		$48.98	$177.83	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $177.83 / $213.80	Facility		$89.13	$177.83	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $269.15	Professional		$74.13	$107.15	$269.15