Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $61.66	Professional		$36.31	$47.86	$61.66
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 $43.65 / $51.29 / $95.50	Professional		$43.65	$51.29	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $40.74 / $64.57	Professional		$36.31	$40.74	$64.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.12 / $64.57	Professional		$38.02	$50.12	$64.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $47.86 / $117.49	Facility		$35.48	$47.86	$117.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $70.79	Professional		$35.48	$50.12	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $102.33	Professional		$47.86	$64.57	$102.33