Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $95.50 / $154.88	Facility		$42.66	$95.50	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $39.81	Professional		$20.89	$28.18	$39.81
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 $27.54 / $27.54 / $56.23	Professional		$27.54	$27.54	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $56.23 / $120.23	Facility		$33.88	$56.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $75.86	Professional		$37.15	$47.86	$75.86
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $40.74 / $66.07	Professional		$26.30	$40.74	$66.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $89.13 / $147.91	Facility		$41.69	$89.13	$147.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $102.33	Professional		$20.89	$28.18	$102.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $44.67 / $83.18	Facility		$25.70	$44.67	$83.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $44.67 / $56.23	Professional		$24.55	$44.67	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $41.69	Facility		$35.48	$35.48	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $52.48	Professional		$14.79	$20.89	$52.48