Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $93.33 / $147.91	Facility		$31.62	$93.33	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $61.66	Professional		$25.12	$28.84	$61.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $239.88 / $5,011.87	Facility		$177.83	$239.88	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $33.88	Professional		$26.30	$26.30	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $52.48 / $117.49	Facility		$22.91	$52.48	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.02 / $60.26	Professional		$20.89	$38.02	$60.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.95 / $48.98	Professional		$12.02	$19.95	$48.98
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.02 / $58.88	Professional		$33.11	$38.02	$58.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $89.13 / $151.36	Facility		$31.62	$89.13	$151.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $123.03	Professional		$25.12	$32.36	$123.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.88 / $48.98	Facility		$28.84	$33.88	$48.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $28.84 / $48.98	Professional		$12.02	$28.84	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.88 / $40.74	Facility		$22.91	$33.88	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.88 / $58.88	Professional		$14.13	$21.88	$58.88