Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $331.13 / $501.19	Facility		$128.82	$331.13	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $138.04	Professional		$79.43	$97.72	$138.04
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 $93.33 / $93.33 / $120.23	Professional		$93.33	$93.33	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $181.97 / $416.87	Facility		$81.28	$181.97	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $173.78	Professional		$56.23	$70.79	$173.78
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $208.93	Professional		$102.33	$120.23	$208.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $331.13 / $501.19	Facility		$165.96	$331.13	$501.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $102.33 / $302.00	Professional		$89.13	$102.33	$302.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $120.23 / $147.91	Facility		$93.33	$120.23	$147.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $93.33 / $147.91	Professional		$13.80	$93.33	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $66.07 / $83.18	Facility		$47.86	$66.07	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $204.17	Professional		$53.70	$85.11	$204.17