Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $43.65 / $85.11	Facility		$15.49	$43.65	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $25.70	Professional		$10.00	$12.02	$25.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $89.13 / $5,011.87	Facility		$66.07	$89.13	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $12.30	Professional		$11.48	$11.48	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $22.39 / $50.12	Facility		$9.77	$22.39	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.60 / $25.70	Professional		$8.91	$16.60	$25.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $14.79 / $21.38	Professional		$6.92	$14.79	$21.38
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.79 / $25.70	Professional		$12.59	$14.79	$25.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $47.86 / $85.11	Facility		$23.99	$47.86	$85.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $12.02	Professional		$8.91	$8.91	$12.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $42.66 / $85.11	Facility		$16.22	$42.66	$85.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.49 / $52.48	Professional		$10.47	$13.49	$52.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $14.79 / $128.82	Facility		$10.00	$14.79	$128.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $17.78 / $64.57	Professional		$7.08	$17.78	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $14.79 / $17.78	Facility		$9.77	$14.79	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.77 / $21.88	Professional		$6.61	$9.77	$21.88