Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $154.88 / $181.97	Facility		$60.26	$154.88	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $309.03	Professional		$60.26	$60.26	$309.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $64.57 / $79.43	Facility		$54.95	$64.57	$79.43
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $104.71	Professional		$91.20	$104.71	$104.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $147.91 / $181.97	Facility		$60.26	$147.91	$181.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $61.66 / $234.42	Professional		$60.26	$61.66	$234.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $275.42 / $457.09	Facility		$72.44	$275.42	$457.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $275.42 / $457.09	Professional		$72.44	$275.42	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $109.65	Professional		$60.26	$60.26	$109.65