Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $51.29 / $89.13	Facility		$16.22	$51.29	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $36.31	Professional		$14.13	$15.85	$36.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $120.23 / $5,011.87	Facility		$91.20	$120.23	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $17.38	Professional		$15.85	$15.85	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $30.90 / $58.88	Facility		$13.18	$30.90	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $22.39 / $30.20	Professional		$10.96	$22.39	$30.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $29.51	Professional		$9.55	$12.02	$29.51
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.89 / $34.67	Professional		$19.05	$20.89	$34.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $41.69 / $89.13	Facility		$24.55	$41.69	$89.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $18.20	Professional		$12.02	$12.02	$18.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $51.29 / $89.13	Facility		$16.98	$51.29	$89.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.20 / $69.18	Professional		$13.80	$18.20	$69.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $27.54 / $27.54	Facility		$19.95	$27.54	$27.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $27.54 / $27.54	Professional		$13.18	$27.54	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.95 / $23.99	Facility		$12.02	$19.95	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $30.20	Professional		$8.51	$12.02	$30.20