Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $338.84	Professional		$165.96	$234.42	$338.84
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $346.74 / $389.05	Professional		$38.90	$346.74	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $457.09	Professional		$223.87	$263.03	$457.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $398.11	Professional		$239.88	$281.84	$398.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $338.84	Professional		$190.55	$234.42	$338.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $398.11 / $416.87	Professional		$363.08	$398.11	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $181.97 / $288.40	Facility		$21.88	$181.97	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $436.52	Professional		$169.82	$234.42	$436.52