Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $107.15 / $416.87	Facility		$83.18	$107.15	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $158.49	Professional		$83.18	$83.18	$158.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $120.23 / $5,011.87	Facility		$102.33	$120.23	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $208.93 / $398.11	Facility		$95.50	$208.93	$398.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $141.25 / $416.87	Facility		$85.11	$141.25	$416.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $245.47	Professional		$83.18	$85.11	$245.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $147.91	Facility		$102.33	$102.33	$147.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $407.38	Professional		$102.33	$147.91	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $151.36	Professional		$83.18	$104.71	$151.36