Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $43.65 / $81.28	Facility		$14.13	$43.65	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $42.66	Professional		$12.02	$14.13	$42.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $102.33 / $5,011.87	Facility		$77.62	$102.33	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $14.45	Professional		$13.49	$13.49	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $26.30 / $57.54	Facility		$11.48	$26.30	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $19.50 / $30.20	Professional		$10.47	$19.50	$30.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.23 / $25.12	Professional		$8.13	$10.23	$25.12
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.38 / $29.51	Professional		$14.45	$17.38	$29.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $43.65 / $125.89	Facility		$25.70	$43.65	$125.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $12.30	Professional		$10.23	$10.23	$12.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $42.66 / $81.28	Facility		$14.13	$42.66	$81.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $63.10	Professional		$12.02	$15.85	$63.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $20.42 / $22.91	Facility		$17.38	$20.42	$22.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.42 / $22.91	Professional		$15.14	$20.42	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $17.38 / $20.42	Facility		$11.48	$17.38	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.23 / $25.70	Professional		$7.24	$10.23	$25.70