Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $74.13 / $117.49	Facility		$33.11	$74.13	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $30.90	Professional		$16.98	$20.89	$30.90
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 $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $41.69 / $93.33	Facility		$18.20	$41.69	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $38.90	Professional		$31.62	$31.62	$38.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $38.90	Professional		$12.88	$15.85	$38.90
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $46.77	Professional		$20.42	$25.12	$46.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $69.18 / $112.20	Facility		$31.62	$69.18	$112.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $95.50	Professional		$18.20	$22.91	$95.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $25.12 / $29.51	Facility		$22.39	$25.12	$29.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.99 / $27.54	Professional		$14.45	$23.99	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $26.92 / $32.36	Facility		$14.79	$26.92	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.22 / $40.74	Professional		$11.48	$16.22	$40.74