Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $204.17 / $338.84	Facility		$57.54	$204.17	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $64.57 / $123.03	Professional		$7.08	$64.57	$123.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $60.26 / $5,011.87	Facility		$45.71	$60.26	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $109.65 / $234.42	Facility		$17.38	$109.65	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $22.91 / $114.82	Professional		$5.50	$22.91	$114.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $38.02 / $117.49	Professional		$7.59	$38.02	$117.49
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $56.23 / $138.04	Professional		$9.12	$56.23	$138.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $199.53 / $338.84	Facility		$24.55	$199.53	$338.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $64.57 / $239.88	Professional		$8.91	$64.57	$239.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $26.92 / $40.74	Facility		$10.47	$26.92	$40.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.30 / $40.74	Professional		$10.47	$12.30	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $81.28 / $95.50	Facility		$39.81	$81.28	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $36.31 / $95.50	Professional		$6.31	$36.31	$95.50