Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $309.03 / $501.19	Facility		$138.04	$309.03	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $131.83	Professional		$75.86	$91.20	$131.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $549.54 / $5,011.87	Facility		$416.87	$549.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $177.83 / $389.05	Facility		$75.86	$177.83	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $165.96	Professional		$131.83	$131.83	$165.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $165.96	Professional		$53.70	$67.61	$165.96
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $199.53	Professional		$85.11	$97.72	$199.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $295.12 / $478.63	Facility		$134.90	$295.12	$478.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $407.38	Professional		$75.86	$97.72	$407.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $114.82 / $125.89	Facility		$44.67	$114.82	$125.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $102.33 / $134.90	Professional		$44.67	$102.33	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $114.82 / $138.04	Facility		$63.10	$114.82	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $169.82	Professional		$47.86	$69.18	$169.82