Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $41.69 / $69.18	Facility		$14.79	$41.69	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $28.18	Professional		$10.96	$12.88	$28.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $102.33 / $5,011.87	Facility		$77.62	$102.33	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $14.45	Professional		$12.30	$12.30	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $23.99 / $53.70	Facility		$10.47	$23.99	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $17.78 / $25.12	Professional		$8.91	$17.78	$25.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.72 / $22.91	Professional		$7.41	$10.72	$22.91
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.22 / $27.54	Professional		$14.13	$16.22	$27.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $39.81 / $69.18	Facility		$14.79	$39.81	$69.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $56.23	Professional		$10.96	$14.13	$56.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $16.22 / $16.22	Facility		$9.77	$16.22	$16.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.22 / $20.89	Professional		$13.18	$16.22	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $15.85 / $19.05	Facility		$9.77	$15.85	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.96 / $25.70	Professional		$7.08	$10.96	$25.70