Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $51.29 / $100.00	Facility		$15.85	$51.29	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.22 / $30.20	Professional		$14.13	$16.22	$30.20
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 $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $28.84 / $63.10	Facility		$12.59	$28.84	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $20.89 / $33.11	Professional		$11.48	$20.89	$33.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $18.62 / $26.92	Professional		$8.71	$18.62	$26.92
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.62 / $32.36	Professional		$15.14	$18.62	$32.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $56.23 / $102.33	Facility		$25.70	$56.23	$102.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.49 / $15.85	Professional		$11.22	$13.49	$15.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $47.86 / $100.00	Facility		$15.85	$47.86	$100.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.98 / $69.18	Professional		$13.80	$16.98	$69.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $11.75 / $20.42	Facility		$5.50	$11.75	$20.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $16.60 / $21.38	Professional		$5.50	$16.60	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $18.62 / $22.39	Facility		$12.59	$18.62	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.30 / $28.18	Professional		$8.51	$12.30	$28.18