Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $64.57 / $109.65	Facility		$23.44	$64.57	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $45.71	Professional		$18.20	$20.89	$45.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $144.54 / $5,011.87	Facility		$107.15	$144.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.95	Professional		$19.50	$19.50	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $38.02 / $87.10	Facility		$16.98	$38.02	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $28.18 / $41.69	Professional		$14.45	$28.18	$41.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $36.31	Professional		$11.75	$14.79	$36.31
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $43.65	Professional		$21.38	$25.12	$43.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $63.10 / $109.65	Facility		$23.44	$63.10	$109.65
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 $19.95 / $25.12 / $25.12	Facility		$19.95	$25.12	$25.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $28.84	Professional		$19.95	$25.12	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $25.12 / $30.20	Facility		$15.85	$25.12	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.14 / $38.02	Professional		$10.47	$15.14	$38.02