Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $154.88 / $257.04	Facility		$48.98	$154.88	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $48.98 / $77.62	Professional		$8.91	$48.98	$77.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $77.62 / $5,011.87	Facility		$58.88	$77.62	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $83.18 / $177.83	Facility		$24.55	$83.18	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $28.84 / $87.10	Professional		$7.41	$28.84	$87.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $28.84 / $87.10	Professional		$13.49	$28.84	$87.10
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $42.66 / $104.71	Professional		$11.48	$42.66	$104.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $151.36 / $257.04	Facility		$31.62	$151.36	$257.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $51.29 / $177.83	Professional		$12.02	$51.29	$177.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $9.33 / $53.70	Facility		$5.89	$9.33	$53.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $11.75 / $60.26	Professional		$6.61	$11.75	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $60.26 / $72.44	Facility		$30.20	$60.26	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $27.54 / $72.44	Professional		$9.33	$27.54	$72.44