Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $67.61 / $120.23	Facility		$32.36	$67.61	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $48.98	Professional		$15.14	$20.89	$48.98
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $120.23 / $5,011.87	Facility		$91.20	$120.23	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $38.90 / $91.20	Facility		$17.38	$38.90	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $25.70 / $40.74	Professional		$10.72	$25.70	$40.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $38.90	Professional		$12.59	$15.85	$38.90
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $46.77	Professional		$18.20	$22.91	$46.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $67.61 / $120.23	Facility		$30.20	$67.61	$120.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $79.43	Professional		$16.98	$21.88	$79.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $25.70	Facility		$22.91	$22.91	$25.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $25.70	Professional		$22.91	$22.91	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $26.92 / $32.36	Facility		$13.49	$26.92	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $16.22 / $38.02	Professional		$11.22	$16.22	$38.02