Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $19.50 / $34.67	Facility		$6.76	$19.50	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $17.38	Professional		$5.01	$6.03	$17.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $32.36 / $5,011.87	Facility		$24.55	$32.36	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Professional		$5.75	$5.75	$5.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $11.48 / $24.55	Facility		$4.90	$11.48	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $8.51 / $12.59	Professional		$4.47	$8.51	$12.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.27 / $10.47	Professional		$3.47	$4.27	$10.47
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Facility		$7.24	$7.24	$7.24
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.17 / $12.59	Professional		$4.90	$6.17	$12.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $21.38 / $128.82	Facility		$3.63	$21.38	$128.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $4.47	Professional		$4.37	$4.37	$4.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $18.62 / $34.67	Facility		$6.76	$18.62	$34.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.61 / $26.92	Professional		$5.01	$6.61	$26.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $8.91	Facility		$4.27	$4.27	$8.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $7.24 / $8.91	Professional		$4.27	$7.24	$8.91
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $7.24 / $8.71	Facility		$4.90	$7.24	$8.71
United Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.68 / $10.23	Professional		$3.09	$4.68	$10.23