Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $97.72 / $169.82	Facility		$32.36	$97.72	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $104.71	Professional		$25.12	$30.90	$104.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $186.21 / $5,011.87	Facility		$141.25	$186.21	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $63.10 / $131.83	Facility		$25.70	$63.10	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $44.67 / $57.54	Professional		$18.20	$44.67	$57.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $18.20 / $56.23	Professional		$10.72	$18.20	$56.23
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $67.61	Professional		$26.92	$33.11	$67.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $95.50 / $199.53	Facility		$56.23	$95.50	$199.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $28.84	Professional		$18.20	$22.91	$28.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $95.50 / $162.18	Facility		$32.36	$95.50	$162.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $158.49	Professional		$25.12	$32.36	$158.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $38.90 / $53.70	Facility		$28.84	$38.90	$53.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $53.70	Professional		$26.92	$38.90	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $38.90 / $46.77	Facility		$19.50	$38.90	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.91 / $57.54	Professional		$16.22	$22.91	$57.54