Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $109.65 / $181.97	Facility		$41.69	$109.65	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $77.62	Professional		$42.66	$53.70	$77.62
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 $60.26 / $70.79 / $125.89	Professional		$60.26	$70.79	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $104.71	Professional		$51.29	$69.18	$104.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $75.86	Professional		$51.29	$58.88	$75.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $109.65 / $1,862.09	Facility		$41.69	$109.65	$1,862.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $151.36	Professional		$42.66	$57.54	$151.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $53.70 / $144.54	Facility		$19.95	$53.70	$144.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $53.70 / $144.54	Professional		$19.95	$53.70	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $112.20	Professional		$51.29	$72.44	$112.20