Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $251.19 / $354.81	Facility		$112.20	$251.19	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $95.50	Professional		$60.26	$70.79	$95.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
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 $60.26 / $141.25 / $295.12	Facility		$60.26	$141.25	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $1,621.81	Professional		$131.83	$165.96	$1,621.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $50.12 / $165.96	Professional		$40.74	$50.12	$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 $70.79 / $97.72 / $199.53	Professional		$70.79	$97.72	$199.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $288.40 / $354.81	Facility		$120.23	$288.40	$354.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $288.40	Professional		$61.66	$72.44	$288.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $104.71 / $104.71	Facility		$53.70	$104.71	$104.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $100.00 / $104.71	Professional		$53.70	$100.00	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $114.82 / $138.04	Facility		$58.88	$114.82	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $128.82	Professional		$38.90	$57.54	$128.82