Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $173.78 / $363.08	Facility		$138.04	$173.78	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $169.82	Professional		$138.04	$138.04	$169.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $147.91 / $5,011.87	Facility		$125.89	$147.91	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $239.88 / $239.88	Professional		$208.93	$239.88	$239.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $363.08	Facility		$138.04	$138.04	$363.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $234.42	Professional		$138.04	$138.04	$234.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $147.91 / $416.87	Facility		$30.90	$147.91	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $154.88 / $416.87	Professional		$30.90	$154.88	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $234.42	Professional		$138.04	$173.78	$234.42