Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $1,862.09	Facility		$43.65	$43.65	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $42.66 / $93.33	Professional		$38.02	$42.66	$93.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $70.79 / $83.18	Professional		$41.69	$70.79	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $43.65 / $74.13	Professional		$35.48	$43.65	$74.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $64.57	Professional		$45.71	$58.88	$64.57
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $109.65	Professional		$34.67	$47.86	$109.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $1,862.09	Facility		$43.65	$43.65	$1,862.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $112.20	Professional		$38.02	$43.65	$112.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $40.74 / $46.77	Facility		$25.12	$40.74	$46.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $40.74 / $75.86	Professional		$22.91	$40.74	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $83.18	Professional		$35.48	$45.71	$83.18