Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $169.82 / $870.96	Facility		$70.79	$169.82	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $48.98 / $107.15	Professional		$42.66	$48.98	$107.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $407.38 / $5,011.87	Facility		$309.03	$407.38	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $57.54	Professional		$45.71	$45.71	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $83.18	Professional		$66.07	$66.07	$83.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.88 / $83.18	Professional		$27.54	$33.88	$83.18
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $64.57 / $100.00	Professional		$57.54	$64.57	$100.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $269.15	Facility		$239.88	$239.88	$269.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $165.96 / $794.33	Facility		$64.57	$165.96	$794.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $213.80	Professional		$42.66	$54.95	$213.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $57.54 / $60.26	Facility		$27.54	$57.54	$60.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $57.54 / $75.86	Professional		$27.54	$57.54	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $57.54 / $69.18	Facility		$38.90	$57.54	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $41.69 / $100.00	Professional		$26.30	$41.69	$100.00