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 $57.54 / $63.10 / $83.18	Professional		$57.54	$63.10	$83.18
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 $64.57 / $77.62 / $125.89	Professional		$64.57	$77.62	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.26 / $75.86	Professional		$54.95	$60.26	$75.86
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 $57.54 / $66.07 / $83.18	Professional		$57.54	$66.07	$83.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $87.10 / $87.10	Facility		$72.44	$87.10	$87.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $87.10 / $302.00	Professional		$28.84	$87.10	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $144.54	Professional		$67.61	$91.20	$144.54