Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $54.95 / $89.13	Facility		$19.05	$54.95	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $37.15	Professional		$15.14	$16.98	$37.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $141.25 / $5,011.87	Facility		$107.15	$141.25	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $19.95	Professional		$15.85	$15.85	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $31.62 / $69.18	Facility		$13.49	$31.62	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $22.91 / $35.48	Professional		$12.59	$22.91	$35.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $29.51	Professional		$9.55	$12.02	$29.51
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.39 / $35.48	Professional		$19.95	$22.39	$35.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $53.70 / $91.20	Facility		$19.05	$53.70	$91.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $74.13	Professional		$15.14	$19.05	$74.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $30.20 / $75.86	Facility		$20.42	$30.20	$75.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.20 / $75.86	Professional		$20.42	$30.20	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $20.42 / $23.99	Facility		$13.49	$20.42	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.18 / $35.48	Professional		$9.12	$13.18	$35.48