Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $74.13 / $125.89	Facility		$23.44	$74.13	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $23.99 / $41.69	Professional		$2.00	$23.99	$41.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $18.20 / $5,011.87	Facility		$13.49	$18.20	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $41.69 / $87.10	Facility		$5.25	$41.69	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $6.46 / $43.65	Professional		$1.55	$6.46	$43.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $14.13 / $43.65	Professional		$2.04	$14.13	$43.65
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $20.89 / $52.48	Professional		$2.69	$20.89	$52.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Facility		$3.98	$3.98	$3.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $74.13 / $125.89	Facility		$21.38	$74.13	$125.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $23.99 / $74.13	Professional		$3.02	$23.99	$74.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $4.68 / $11.75	Facility		$1.15	$4.68	$11.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.15 / $11.75	Professional		$1.15	$1.15	$11.75
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $30.20 / $36.31	Facility		$15.14	$30.20	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $17.78 / $34.67	Professional		$2.24	$17.78	$34.67