Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $30.20 / $58.88	Facility		$12.88	$30.20	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $19.95	Professional		$6.03	$7.94	$19.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $58.88 / $5,011.87	Facility		$44.67	$58.88	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $16.98 / $38.02	Facility		$7.41	$16.98	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $10.72 / $16.60	Professional		$5.25	$10.72	$16.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.46 / $15.85	Professional		$5.13	$6.46	$15.85
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $19.05	Professional		$8.91	$10.96	$19.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $53.70 / $72.44	Facility		$21.38	$53.70	$72.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $30.20 / $58.88	Facility		$12.30	$30.20	$58.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $38.02	Professional		$7.08	$8.91	$38.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $10.47 / $10.96	Facility		$3.55	$10.47	$10.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $10.47 / $12.02	Professional		$3.55	$10.47	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $10.96 / $13.18	Facility		$5.75	$10.96	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $6.61 / $15.49	Professional		$4.57	$6.61	$15.49