Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $151.36 / $223.87	Facility		$41.69	$151.36	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.65 / $67.61	Professional		$38.90	$43.65	$67.61
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $346.74 / $5,011.87	Facility		$263.03	$346.74	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $51.29	Professional		$39.81	$39.81	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $79.43 / $151.36	Facility		$34.67	$79.43	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $57.54 / $85.11	Professional		$31.62	$57.54	$85.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $74.13	Professional		$23.99	$30.20	$74.13
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $89.13	Professional		$43.65	$54.95	$89.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $87.10 / $162.18	Facility		$69.18	$87.10	$162.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $43.65	Professional		$30.90	$30.90	$43.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $141.25 / $223.87	Facility		$37.15	$141.25	$223.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $151.36	Professional		$38.02	$47.86	$151.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $72.44 / $79.43	Facility		$51.29	$72.44	$79.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $446.68	Professional		$51.29	$72.44	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $51.29 / $61.66	Facility		$34.67	$51.29	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.11 / $87.10	Professional		$21.38	$33.11	$87.10