Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $85.11 / $128.82	Facility		$33.11	$85.11	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $33.88	Professional		$19.95	$25.12	$33.88
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 $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $48.98 / $107.15	Facility		$20.89	$48.98	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $44.67	Professional		$36.31	$36.31	$44.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $45.71	Professional		$14.79	$18.62	$45.71
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.84 / $54.95	Professional		$23.44	$28.84	$54.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $85.11 / $128.82	Facility		$42.66	$85.11	$128.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $77.62	Professional		$19.95	$25.12	$77.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $34.67 / $57.54	Facility		$15.85	$34.67	$57.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $34.67 / $57.54	Professional		$15.85	$34.67	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $31.62 / $38.02	Facility		$17.38	$31.62	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.62 / $46.77	Professional		$13.18	$18.62	$46.77