Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $158.49 / $239.88	Facility		$81.28	$158.49	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $112.20	Professional		$79.43	$79.43	$112.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $87.10 / $5,011.87	Facility		$74.13	$87.10	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $83.18 / $87.10	Professional		$81.28	$83.18	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $138.04 / $138.04	Professional		$120.23	$138.04	$138.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $144.54 / $239.88	Facility		$81.28	$144.54	$239.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $223.87	Professional		$79.43	$81.28	$223.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $81.28 / $602.56	Facility		$4.57	$81.28	$602.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $89.13 / $186.21	Professional		$4.57	$89.13	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $109.65	Professional		$79.43	$89.13	$109.65