Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $87.10 / $257.04	Facility		$25.70	$87.10	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $42.66	Professional		$15.85	$19.05	$42.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $154.88 / $5,011.87	Facility		$117.49	$154.88	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $20.89	Professional		$16.98	$16.98	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $33.88 / $74.13	Facility		$14.79	$33.88	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $25.12 / $38.90	Professional		$13.49	$25.12	$38.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $31.62	Professional		$10.23	$12.88	$31.62
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $24.55 / $38.02	Professional		$21.38	$24.55	$38.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $54.95 / $144.54	Facility		$28.84	$54.95	$144.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.60 / $18.62	Professional		$13.18	$16.60	$18.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $87.10 / $257.04	Facility		$25.70	$87.10	$257.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $81.28	Professional		$15.85	$19.95	$81.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $32.36 / $32.36	Facility		$21.88	$32.36	$32.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $32.36 / $120.23	Professional		$6.31	$32.36	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.88 / $26.30	Facility		$14.79	$21.88	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.13 / $37.15	Professional		$9.12	$14.13	$37.15