Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $69.18 / $112.20	Facility		$25.12	$69.18	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $33.88	Professional		$15.85	$20.89	$33.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $117.49 / $5,011.87	Facility		$89.13	$117.49	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $41.69 / $79.43	Facility		$17.78	$41.69	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $26.30 / $40.74	Professional		$10.72	$26.30	$40.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.85 / $38.90	Professional		$10.72	$15.85	$38.90
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.30 / $46.77	Professional		$19.50	$26.30	$46.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $67.61 / $112.20	Facility		$25.12	$67.61	$112.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.91 / $79.43	Professional		$16.22	$22.91	$79.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $25.12 / $26.92	Facility		$20.89	$25.12	$26.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.99 / $26.92	Professional		$14.45	$23.99	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $26.92 / $32.36	Facility		$13.49	$26.92	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.22 / $38.02	Professional		$11.48	$16.22	$38.02