Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $66.07 / $107.15	Facility		$21.88	$66.07	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $114.82	Professional		$19.05	$21.88	$114.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $177.83 / $5,011.87	Facility		$134.90	$177.83	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $22.39	Professional		$19.95	$19.95	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $39.81 / $87.10	Facility		$16.98	$39.81	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $28.84 / $44.67	Professional		$15.49	$28.84	$44.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $25.70 / $37.15	Professional		$12.02	$25.70	$37.15
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $50.12	Facility		$25.70	$25.70	$50.12
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $44.67	Professional		$25.12	$28.18	$44.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $83.18 / $147.91	Facility		$42.66	$83.18	$147.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $24.55	Professional		$15.14	$15.14	$24.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $66.07 / $107.15	Facility		$21.88	$66.07	$107.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.44 / $104.71	Professional		$18.62	$23.44	$104.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $23.99 / $107.15	Facility		$12.02	$23.99	$107.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $23.99 / $107.15	Professional		$11.48	$23.99	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $25.70 / $30.90	Facility		$16.98	$25.70	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $18.62 / $44.67	Professional		$11.48	$18.62	$44.67