Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $338.84 / $524.81	Facility		$186.21	$338.84	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $218.78	Professional		$173.78	$186.21	$218.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $12.30 / $5,011.87	Facility		$10.47	$12.30	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $302.00 / $478.63	Facility		$186.21	$302.00	$478.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $281.84	Professional		$173.78	$186.21	$281.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.19 / $5.25	Facility		$1.95	$2.19	$5.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $2.19 / $5.25	Professional		$1.51	$2.19	$5.25
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $251.19	Professional		$181.97	$181.97	$251.19