Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $48.98 / $79.43	Facility		$16.98	$48.98	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $33.11	Professional		$12.88	$15.85	$33.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $144.54 / $5,011.87	Facility		$109.65	$144.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $19.95	Professional		$14.13	$14.13	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $28.18 / $61.66	Facility		$12.59	$28.18	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.42 / $36.31	Professional		$12.88	$20.42	$36.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.72 / $26.30	Professional		$8.51	$10.72	$26.30
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.44 / $31.62	Professional		$18.20	$23.44	$31.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $51.29 / $81.28	Facility		$16.98	$51.29	$81.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $74.13	Professional		$12.88	$18.20	$74.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $19.50 / $30.90	Facility		$7.41	$19.50	$30.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $19.50 / $30.90	Professional		$7.41	$19.50	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $18.20 / $21.88	Facility		$12.30	$18.20	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.59 / $33.11	Professional		$7.59	$12.59	$33.11