Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $223.87 / $630.96	Facility		$74.13	$223.87	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $63.10 / $141.25	Professional		$26.92	$63.10	$141.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $199.53 / $5,011.87	Facility		$151.36	$199.53	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $114.82 / $229.09	Facility		$51.29	$114.82	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $50.12 / $114.82	Professional		$17.78	$50.12	$114.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $114.82	Professional		$23.99	$37.15	$114.82
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $54.95 / $138.04	Professional		$29.51	$54.95	$138.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $181.97 / $371.54	Facility		$104.71	$181.97	$371.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $64.57	Professional		$52.48	$52.48	$64.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $223.87 / $630.96	Facility		$74.13	$223.87	$630.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $74.13 / $234.42	Professional		$33.11	$74.13	$234.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $79.43	Facility		$38.02	$38.02	$79.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $40.74 / $79.43	Professional		$38.02	$40.74	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $79.43 / $95.50	Facility		$39.81	$79.43	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $43.65 / $95.50	Professional		$18.62	$43.65	$95.50