Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $66.07 / $112.20	Facility		$21.88	$66.07	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.89 / $45.71	Professional		$19.05	$20.89	$45.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $173.78 / $5,011.87	Facility		$131.83	$173.78	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $21.88	Professional		$19.95	$19.95	$21.88
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 $15.14 / $28.84 / $43.65	Professional		$15.14	$28.84	$43.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $37.15	Professional		$12.02	$15.14	$37.15
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.18 / $44.67	Professional		$24.55	$28.18	$44.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $48.98 / $81.28	Facility		$47.86	$48.98	$81.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $66.07 / $112.20	Facility		$21.88	$66.07	$112.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.99 / $91.20	Professional		$18.62	$23.99	$91.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $36.31 / $36.31	Facility		$12.59	$36.31	$36.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $35.48 / $173.78	Professional		$13.18	$35.48	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $25.70 / $30.90	Facility		$16.60	$25.70	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.60 / $43.65	Professional		$11.48	$16.60	$43.65