Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $457.09 / $602.56	Facility		$199.53	$457.09	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $263.03	Professional		$194.98	$199.53	$263.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $213.80 / $5,011.87	Facility		$181.97	$213.80	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $204.17 / $213.80	Professional		$199.53	$204.17	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $338.84 / $338.84	Professional		$295.12	$338.84	$338.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $389.05 / $602.56	Facility		$199.53	$389.05	$602.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $549.54	Professional		$194.98	$199.53	$549.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $223.87 / $309.03	Facility		$173.78	$223.87	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $407.38	Professional		$173.78	$223.87	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $275.42	Professional		$194.98	$194.98	$275.42