Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $144.54 / $177.83	Professional		$128.82	$144.54	$177.83
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 $208.93 / $218.78 / $316.23	Professional		$208.93	$218.78	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $186.21 / $371.54	Professional		$165.96	$186.21	$371.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $186.21	Professional		$125.89	$147.91	$186.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $186.21 / $346.74	Facility		$165.96	$186.21	$346.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $346.74	Professional		$162.18	$186.21	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $316.23	Professional		$147.91	$204.17	$316.23