Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $69.18 / $128.82	Facility		$22.91	$69.18	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $33.88	Professional		$16.98	$20.89	$33.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $131.83 / $5,011.87	Facility		$97.72	$131.83	$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 / $93.33	Facility		$17.78	$41.69	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $26.92 / $40.74	Professional		$12.02	$26.92	$40.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $38.90	Professional		$12.88	$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 $20.42 / $26.92 / $46.77	Professional		$20.42	$26.92	$46.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $67.61 / $67.61	Facility		$47.86	$67.61	$67.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $69.18 / $128.82	Facility		$22.91	$69.18	$128.82
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 $22.39 / $25.12 / $29.51	Facility		$22.39	$25.12	$29.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $25.12 / $29.51	Professional		$15.49	$25.12	$29.51
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 / $40.74	Professional		$11.48	$16.22	$40.74