Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $40.74 / $77.62	Facility		$13.18	$40.74	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $43.65	Professional		$12.02	$14.13	$43.65
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $56.23 / $5,011.87	Facility		$42.66	$56.23	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $25.70 / $56.23	Facility		$10.96	$25.70	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $18.20 / $28.84	Professional		$10.00	$18.20	$28.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.55 / $23.44	Professional		$7.76	$9.55	$23.44
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.75 / $28.18	Professional		$8.51	$11.75	$28.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $40.74 / $100.00	Facility		$22.39	$40.74	$100.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $9.77	Professional		$7.94	$7.94	$9.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $40.74 / $77.62	Facility		$13.18	$40.74	$77.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $60.26	Professional		$12.02	$15.14	$60.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $17.78	Facility		$9.12	$9.12	$17.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.77 / $17.78	Professional		$9.12	$9.77	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $16.22 / $19.50	Facility		$10.96	$16.22	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.77 / $22.91	Professional		$6.76	$9.77	$22.91