Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $512.86 / $831.76	Facility		$234.42	$512.86	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $199.53	Professional		$128.82	$158.49	$199.53
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $323.59 / $676.08	Facility		$194.98	$323.59	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $371.54	Professional		$208.93	$269.15	$371.54
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $501.19	Professional		$213.80	$331.13	$501.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $512.86 / $831.76	Facility		$223.87	$512.86	$831.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $588.84	Professional		$128.82	$162.18	$588.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $218.78 / $851.14	Facility		$79.43	$218.78	$851.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $199.53 / $851.14	Professional		$79.43	$199.53	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $239.88	Facility		$199.53	$199.53	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $251.19	Professional		$83.18	$120.23	$251.19