Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $87.10 / $177.83	Facility		$31.62	$87.10	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $53.70	Professional		$21.88	$26.30	$53.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $208.93 / $5,011.87	Facility		$154.88	$208.93	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $28.18	Professional		$22.91	$22.91	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $45.71 / $100.00	Facility		$19.95	$45.71	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.11 / $51.29	Professional		$18.20	$33.11	$51.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.38 / $42.66	Professional		$13.80	$17.38	$42.66
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.11 / $51.29	Professional		$28.84	$33.11	$51.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $81.28 / $177.83	Facility		$42.66	$81.28	$177.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $22.91	Professional		$17.78	$17.78	$22.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $79.43 / $173.78	Facility		$27.54	$79.43	$173.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $104.71	Professional		$21.38	$26.92	$104.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $43.65 / $43.65	Facility		$29.51	$43.65	$43.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $43.65	Professional		$25.70	$41.69	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $29.51 / $35.48	Facility		$19.95	$29.51	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.38 / $51.29	Professional		$13.18	$21.38	$51.29