Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $67.61 / $158.49	Facility		$21.88	$67.61	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $51.29	Professional		$15.14	$20.89	$51.29
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $125.89 / $5,011.87	Facility		$93.33	$125.89	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $38.90 / $91.20	Facility		$17.38	$38.90	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $25.70 / $39.81	Professional		$11.22	$25.70	$39.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $38.90	Professional		$12.59	$15.85	$38.90
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.44 / $46.77	Professional		$18.62	$23.44	$46.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $63.10 / $154.88	Facility		$35.48	$63.10	$154.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $19.95	Professional		$15.85	$15.85	$19.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $67.61 / $158.49	Facility		$21.88	$67.61	$158.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $89.13	Professional		$15.85	$21.88	$89.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $26.92	Facility		$23.44	$23.44	$26.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.44 / $26.92	Professional		$21.38	$23.44	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $26.92 / $32.36	Facility		$13.49	$26.92	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.85 / $38.90	Professional		$11.22	$15.85	$38.90