Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $40.74 / $67.61	Facility		$14.45	$40.74	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $28.18	Professional		$10.96	$12.02	$28.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $100.00 / $5,011.87	Facility		$74.13	$100.00	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $14.13	Professional		$12.02	$12.02	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $23.44 / $52.48	Facility		$10.47	$23.44	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $17.78 / $25.12	Professional		$8.71	$17.78	$25.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.12 / $22.39	Professional		$7.24	$9.12	$22.39
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.85 / $26.92	Professional		$13.80	$15.85	$26.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $39.81 / $67.61	Facility		$14.45	$39.81	$67.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $54.95	Professional		$10.96	$14.13	$54.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $17.38 / $21.38	Facility		$15.49	$17.38	$21.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.38 / $21.38	Professional		$13.49	$17.38	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $15.49 / $18.62	Facility		$9.55	$15.49	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.47 / $24.55	Professional		$6.92	$10.47	$24.55