Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $42.66 / $75.86	Facility		$16.98	$42.66	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $48.98	Professional		$12.02	$12.88	$48.98
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $112.20 / $5,011.87	Facility		$85.11	$112.20	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $15.85	Professional		$12.59	$12.59	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $25.12 / $54.95	Facility		$10.72	$25.12	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $18.20 / $28.18	Professional		$9.77	$18.20	$28.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.72 / $23.44	Professional		$7.59	$10.72	$23.44
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.20 / $28.18	Professional		$15.85	$18.20	$28.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $30.20 / $104.71	Facility		$19.50	$30.20	$104.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $12.02	Professional		$9.77	$9.77	$12.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $42.66 / $72.44	Facility		$16.98	$42.66	$72.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $60.26	Professional		$11.75	$15.14	$60.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $20.89 / $20.89	Facility		$16.22	$20.89	$20.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.89 / $64.57	Professional		$14.13	$20.89	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $16.22 / $19.50	Facility		$10.72	$16.22	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.47 / $28.18	Professional		$7.24	$10.47	$28.18