Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $457.09 / $707.95	Facility		$93.33	$457.09	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $131.83	Professional		$58.88	$87.10	$131.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $549.54 / $5,011.87	Facility		$416.87	$549.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $162.18 / $371.54	Facility		$74.13	$162.18	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $114.82 / $162.18	Professional		$50.12	$114.82	$162.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $158.49	Professional		$51.29	$64.57	$158.49
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $190.55	Professional		$87.10	$109.65	$190.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $363.08 / $870.96	Facility		$162.18	$363.08	$870.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $457.09 / $660.69	Facility		$93.33	$457.09	$660.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $275.42	Professional		$58.88	$93.33	$275.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $63.10 / $109.65	Facility		$28.84	$63.10	$109.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $63.10 / $109.65	Professional		$28.84	$63.10	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $109.65 / $131.83	Facility		$54.95	$109.65	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $165.96	Professional		$45.71	$66.07	$165.96