Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $389.05 / $645.65	Facility		$213.80	$389.05	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $173.78	Professional		$93.33	$125.89	$173.78
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $213.80 / $467.74	Facility		$104.71	$213.80	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $338.84	Professional		$165.96	$213.80	$338.84
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $398.11	Professional		$169.82	$263.03	$398.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $389.05 / $645.65	Facility		$223.87	$389.05	$645.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $389.05	Professional		$93.33	$128.82	$389.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $173.78	Facility		$158.49	$158.49	$173.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $173.78	Professional		$102.33	$158.49	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $186.21	Facility		$158.49	$158.49	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $194.98	Professional		$66.07	$93.33	$194.98