Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $42.66 / $69.18	Facility		$14.79	$42.66	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $28.18	Professional		$10.96	$12.88	$28.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $109.65 / $5,011.87	Facility		$83.18	$109.65	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $15.49	Professional		$12.30	$12.30	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $24.55 / $53.70	Facility		$10.47	$24.55	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $17.78 / $27.54	Professional		$9.55	$17.78	$27.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.33 / $22.91	Professional		$7.41	$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 $14.79 / $41.69 / $70.79	Facility		$14.79	$41.69	$70.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.45 / $57.54	Professional		$10.96	$14.45	$57.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $23.44 / $53.70	Facility		$15.85	$23.44	$53.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.44 / $53.70	Professional		$15.85	$23.44	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $15.85 / $19.05	Facility		$10.47	$15.85	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.48 / $27.54	Professional		$7.08	$11.48	$27.54