Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $66.07 / $123.03	Facility		$25.70	$66.07	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $43.65	Professional		$18.20	$20.89	$43.65
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $169.82 / $5,011.87	Facility		$128.82	$169.82	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $23.99	Professional		$19.05	$19.05	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $37.15 / $83.18	Facility		$16.22	$37.15	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $27.54 / $42.66	Professional		$15.14	$27.54	$42.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $24.55 / $35.48	Professional		$11.48	$24.55	$35.48
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.92 / $41.69	Professional		$23.99	$26.92	$41.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $151.36	Facility		$131.83	$131.83	$151.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $66.07 / $117.49	Facility		$25.70	$66.07	$117.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $89.13	Professional		$18.20	$22.91	$89.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $33.11 / $416.87	Facility		$24.55	$33.11	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $416.87	Professional		$24.55	$33.11	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $24.55 / $28.84	Facility		$16.22	$24.55	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.78 / $42.66	Professional		$10.96	$17.78	$42.66