Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $123.03 / $208.93	Facility		$44.67	$123.03	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $117.49	Professional		$26.92	$38.90	$117.49
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 $38.02 / $38.02 / $79.43	Professional		$38.02	$38.02	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $74.13 / $165.96	Facility		$32.36	$74.13	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $41.69 / $81.28	Professional		$21.88	$41.69	$81.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $63.10 / $91.20	Professional		$33.88	$63.10	$91.20
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $107.15	Professional		$38.90	$57.54	$107.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $120.23 / $208.93	Facility		$44.67	$120.23	$208.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $169.82	Professional		$30.90	$43.65	$169.82
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 $44.67 / $44.67 / $47.86	Professional		$44.67	$44.67	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $57.54	Facility		$47.86	$47.86	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.84 / $61.66	Professional		$20.42	$28.84	$61.66