Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $128.82 / $223.87	Facility		$42.66	$128.82	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $151.36	Professional		$34.67	$43.65	$151.36
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 $39.81 / $39.81 / $104.71	Professional		$39.81	$39.81	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $85.11 / $173.78	Facility		$50.12	$85.11	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $48.98 / $109.65	Professional		$27.54	$48.98	$109.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $67.61 / $97.72	Professional		$36.31	$67.61	$97.72
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $114.82	Professional		$47.86	$67.61	$114.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $162.18 / $239.88	Facility		$91.20	$162.18	$239.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $128.82 / $223.87	Facility		$47.86	$128.82	$223.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $213.80	Professional		$37.15	$47.86	$213.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $69.18 / $75.86	Facility		$51.29	$69.18	$75.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $75.86	Professional		$38.90	$54.95	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $61.66	Facility		$51.29	$51.29	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $93.33	Professional		$21.38	$30.90	$93.33