Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $64.57 / $346.74	Facility		$20.42	$64.57	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $74.13	Professional		$12.02	$15.14	$74.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $117.49 / $5,011.87	Facility		$89.13	$117.49	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $15.85	Professional		$12.88	$12.88	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $26.30 / $57.54	Facility		$11.22	$26.30	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $18.62 / $29.51	Professional		$10.23	$18.62	$29.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $16.60 / $23.99	Professional		$7.76	$16.60	$23.99
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $18.62 / $28.84	Professional		$16.22	$18.62	$28.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $51.29 / $107.15	Facility		$26.30	$51.29	$107.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $15.85	Professional		$10.00	$10.00	$15.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $58.88 / $346.74	Facility		$17.78	$58.88	$346.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $69.18	Professional		$12.02	$15.85	$69.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $17.78 / $17.78	Facility		$16.60	$17.78	$17.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.78 / $77.62	Professional		$11.48	$17.78	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.60 / $19.95	Facility		$11.22	$16.60	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.96 / $28.84	Professional		$7.08	$10.96	$28.84