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 $67.61 / $91.20 / $131.83	Professional		$67.61	$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 / $186.21	Professional		$89.13	$89.13	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $181.97 / $389.05	Facility		$112.20	$181.97	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $245.47	Professional		$120.23	$154.88	$245.47
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 / $125.89 / $213.80	Professional		$85.11	$125.89	$213.80
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 $67.61 / $93.33 / $338.84	Professional		$67.61	$93.33	$338.84
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 $114.82 / $114.82 / $138.04	Facility		$114.82	$114.82	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $144.54	Professional		$47.86	$69.18	$144.54