Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $48.98 / $79.43	Facility		$21.88	$48.98	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $19.95	Professional		$10.96	$14.13	$19.95
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 $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $28.18 / $61.66	Facility		$12.02	$28.18	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $25.70	Professional		$20.42	$20.42	$25.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.72 / $26.30	Professional		$8.51	$10.72	$26.30
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.60 / $31.62	Professional		$13.49	$16.60	$31.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $45.71 / $75.86	Facility		$21.38	$45.71	$75.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $64.57	Professional		$10.96	$15.14	$64.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $19.95 / $53.70	Facility		$5.01	$19.95	$53.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $19.95 / $51.29	Professional		$5.01	$19.95	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $18.20 / $21.88	Facility		$10.00	$18.20	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.96 / $26.92	Professional		$7.59	$10.96	$26.92