Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $151.36 / $257.04	Facility		$54.95	$151.36	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $158.49	Professional		$38.02	$47.86	$158.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $302.00 / $5,011.87	Facility		$229.09	$302.00	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $95.50	Professional		$45.71	$45.71	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $91.20 / $199.53	Facility		$39.81	$91.20	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $51.29 / $97.72	Professional		$26.92	$51.29	$97.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $77.62 / $112.20	Professional		$40.74	$77.62	$112.20
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $128.82	Professional		$47.86	$70.79	$128.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $147.91 / $245.47	Facility		$54.95	$147.91	$245.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $208.93	Professional		$38.02	$52.48	$208.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $58.88 / $58.88	Facility		$56.23	$58.88	$58.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $58.88 / $97.72	Professional		$56.23	$58.88	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $70.79	Facility		$58.88	$58.88	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $75.86	Professional		$24.55	$35.48	$75.86