Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $100.00 / $169.82	Facility		$36.31	$100.00	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $114.82	Professional		$25.70	$32.36	$114.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $245.47 / $5,011.87	Facility		$186.21	$245.47	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $79.43	Professional		$30.90	$30.90	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $63.10 / $134.90	Facility		$32.36	$63.10	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $37.15 / $81.28	Professional		$20.89	$37.15	$81.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $51.29 / $74.13	Professional		$27.54	$51.29	$74.13
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $93.33	Professional		$38.90	$52.48	$93.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $100.00 / $169.82	Facility		$36.31	$100.00	$169.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $138.04	Professional		$26.92	$36.31	$138.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $47.86	Facility		$44.67	$44.67	$47.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $44.67 / $47.86	Professional		$38.90	$44.67	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $46.77	Facility		$38.90	$38.90	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $54.95	Professional		$16.60	$23.44	$54.95