Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $562.34 / $794.33	Facility		$257.04	$562.34	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $213.80	Professional		$134.90	$158.49	$213.80
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 $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $316.23 / $660.69	Facility		$134.90	$316.23	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $354.81	Professional		$281.84	$281.84	$354.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $354.81	Professional		$91.20	$114.82	$354.81
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $426.58	Professional		$154.88	$208.93	$426.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $616.60 / $794.33	Facility		$275.42	$616.60	$794.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $616.60	Professional		$134.90	$162.18	$616.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $223.87	Facility		$194.98	$194.98	$223.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $194.98 / $223.87	Professional		$38.90	$194.98	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $245.47 / $295.12	Facility		$131.83	$245.47	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $288.40	Professional		$87.10	$123.03	$288.40