Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $165.96 / $218.78	Professional		$144.54	$165.96	$218.78
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 $186.21 / $190.55 / $371.54	Professional		$186.21	$190.55	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $208.93	Professional		$144.54	$162.18	$208.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $218.78 / $218.78	Facility		$181.97	$218.78	$218.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $309.03	Professional		$181.97	$218.78	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $380.19	Professional		$186.21	$251.19	$380.19