Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $169.82 / $269.15	Facility		$75.86	$169.82	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $70.79	Professional		$39.81	$50.12	$70.79
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 $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $95.50 / $213.80	Facility		$41.69	$95.50	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $89.13	Professional		$70.79	$70.79	$89.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $89.13	Professional		$29.51	$36.31	$89.13
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $107.15	Professional		$46.77	$57.54	$107.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $158.49 / $257.04	Facility		$72.44	$158.49	$257.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $218.78	Professional		$40.74	$52.48	$218.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $67.61 / $74.13	Facility		$61.66	$67.61	$74.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $63.10 / $74.13	Professional		$25.70	$63.10	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $61.66 / $74.13	Facility		$33.88	$61.66	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $93.33	Professional		$26.30	$37.15	$93.33