Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $70.79 / $134.90	Facility		$21.38	$70.79	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $66.07	Professional		$12.02	$15.14	$66.07
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $89.13 / $5,011.87	Facility		$67.61	$89.13	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $28.84 / $63.10	Facility		$12.30	$28.84	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $18.20 / $28.18	Professional		$8.32	$18.20	$28.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.96 / $26.92	Professional		$8.71	$10.96	$26.92
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.62 / $32.36	Professional		$14.13	$18.62	$32.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $39.81 / $95.50	Facility		$20.89	$39.81	$95.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $14.13	Professional		$11.22	$11.22	$14.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $63.10 / $144.54	Facility		$17.38	$63.10	$144.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.49 / $69.18	Professional		$12.02	$15.49	$69.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.49 / $117.49	Facility		$14.13	$15.49	$117.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.49 / $20.42	Professional		$13.49	$15.49	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $18.62 / $22.39	Facility		$9.55	$18.62	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.22 / $28.18	Professional		$7.76	$11.22	$28.18