Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $42.66 / $77.62	Facility		$15.49	$42.66	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $30.20	Professional		$12.02	$14.13	$30.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $117.49 / $5,011.87	Facility		$87.10	$117.49	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $14.45	Professional		$12.88	$12.88	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $25.70 / $57.54	Facility		$11.22	$25.70	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $18.62 / $29.51	Professional		$10.23	$18.62	$29.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.72 / $23.99	Professional		$7.76	$10.72	$23.99
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $18.62 / $28.84	Professional		$16.22	$18.62	$28.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $38.90 / $74.13	Facility		$22.39	$38.90	$74.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $12.88	Professional		$10.00	$10.00	$12.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $41.69 / $77.62	Facility		$15.49	$41.69	$77.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $60.26	Professional		$12.02	$15.14	$60.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $18.20 / $21.88	Facility		$16.60	$18.20	$21.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.38 / $21.88	Professional		$14.45	$17.38	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.60 / $19.95	Facility		$11.22	$16.60	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $12.02 / $28.84	Professional		$7.41	$12.02	$28.84