Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $676.08 / $1,071.52	Facility		$275.42	$676.08	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $467.74	Professional		$181.97	$208.93	$467.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $5,011.87	Facility		$1,288.25	$1,698.24	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $575.44	Professional		$199.53	$199.53	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $416.87 / $870.96	Facility		$251.19	$416.87	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $575.44	Professional		$154.88	$245.47	$575.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $338.84 / $489.78	Professional		$181.97	$338.84	$489.78
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $645.65	Professional		$263.03	$407.38	$645.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $676.08 / $1,122.02	Facility		$239.88	$676.08	$1,122.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $912.01	Professional		$190.55	$239.88	$912.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $257.04 / $407.38	Facility		$131.83	$257.04	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $257.04 / $407.38	Professional		$131.83	$257.04	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $309.03	Facility		$257.04	$257.04	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $457.09	Professional		$107.15	$154.88	$457.09