Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $53.70 / $91.20	Facility		$19.50	$53.70	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $69.18	Professional		$15.14	$16.98	$69.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $70.79 / $5,011.87	Facility		$53.70	$70.79	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $31.62 / $70.79	Facility		$14.13	$31.62	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $23.44 / $33.11	Professional		$11.48	$23.44	$33.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $20.89 / $30.20	Professional		$9.77	$20.89	$30.20
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.79 / $36.31	Professional		$10.47	$14.79	$36.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $630.96	Facility		$91.20	$91.20	$630.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $52.48 / $91.20	Facility		$19.50	$52.48	$91.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $85.11	Professional		$15.14	$19.05	$85.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.49 / $20.89	Facility		$11.75	$13.49	$20.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $13.49 / $20.89	Professional		$5.01	$13.49	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $20.89 / $25.12	Facility		$12.59	$20.89	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.59 / $29.51	Professional		$8.51	$12.59	$29.51