Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $316.23	Facility		$186.21	$186.21	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $204.17	Professional		$186.21	$186.21	$204.17
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $218.78 / $5,011.87	Facility		$186.21	$218.78	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $316.23	Facility		$186.21	$186.21	$316.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $234.42	Professional		$186.21	$186.21	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $275.42	Professional		$181.97	$218.78	$275.42