Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $165.96 / $269.15	Facility		$58.88	$165.96	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $51.29 / $81.28	Professional		$23.99	$51.29	$81.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $194.98 / $5,011.87	Facility		$147.91	$194.98	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $97.72 / $186.21	Facility		$42.66	$97.72	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $51.29 / $91.20	Professional		$18.62	$51.29	$91.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $93.33	Professional		$30.20	$33.88	$93.33
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $112.20	Professional		$32.36	$64.57	$112.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $162.18 / $269.15	Facility		$60.26	$162.18	$269.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $53.70 / $190.55	Professional		$30.20	$53.70	$190.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $64.57 / $338.84	Facility		$38.02	$64.57	$338.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $58.88 / $338.84	Professional		$27.54	$58.88	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $64.57 / $77.62	Facility		$32.36	$64.57	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $38.90 / $79.43	Professional		$18.20	$38.90	$79.43