Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $107.15 / $181.97	Facility		$44.67	$107.15	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $37.15 / $109.65	Professional		$30.90	$37.15	$109.65
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $295.12 / $5,011.87	Facility		$218.78	$295.12	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $93.33	Professional		$32.36	$32.36	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $67.61 / $144.54	Facility		$38.02	$67.61	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $39.81 / $95.50	Professional		$25.12	$39.81	$95.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $54.95 / $79.43	Professional		$29.51	$54.95	$79.43
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $61.66 / $107.15	Professional		$43.65	$61.66	$107.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $109.65 / $181.97	Facility		$44.67	$109.65	$181.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $173.78	Professional		$30.90	$39.81	$173.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $57.54	Facility		$54.95	$54.95	$57.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $54.95 / $57.54	Professional		$30.20	$54.95	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $50.12	Facility		$41.69	$41.69	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.12 / $61.66	Professional		$17.38	$25.12	$61.66