Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $257.04	Professional		$109.65	$190.55	$257.04
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $331.13 / $331.13	Professional		$33.11	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $389.05	Professional		$204.17	$204.17	$389.05
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $194.98	Professional		$158.49	$158.49	$194.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $257.04	Professional		$141.25	$190.55	$257.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $316.23 / $371.54	Professional		$74.13	$316.23	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $114.82 / $213.80	Facility		$15.14	$114.82	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $302.00	Professional		$109.65	$165.96	$302.00