Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $42.66 / $69.18	Facility		$16.98	$42.66	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.88 / $28.84	Professional		$11.48	$12.88	$28.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $112.20 / $5,011.87	Facility		$85.11	$112.20	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $15.85	Professional		$12.59	$12.59	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $24.55 / $54.95	Facility		$10.72	$24.55	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $17.78 / $28.18	Professional		$9.77	$17.78	$28.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.33 / $22.91	Professional		$7.59	$9.33	$22.91
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $17.78 / $27.54	Professional		$15.85	$17.78	$27.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $41.69 / $69.18	Facility		$16.98	$41.69	$69.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $58.88	Professional		$11.75	$15.14	$58.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $15.85 / $20.89	Facility		$14.45	$15.85	$20.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $52.48	Professional		$12.30	$17.38	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $15.85 / $19.05	Facility		$10.72	$15.85	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.47 / $27.54	Professional		$6.76	$10.47	$27.54