Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $64.57 / $81.28	Professional		$57.54	$64.57	$81.28
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 $104.71 / $109.65 / $141.25	Professional		$104.71	$109.65	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $181.97	Professional		$79.43	$93.33	$181.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
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 $74.13 / $85.11 / $186.21	Facility		$74.13	$85.11	$186.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $77.62 / $309.03	Professional		$18.62	$77.62	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $141.25	Professional		$67.61	$93.33	$141.25