Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $77.62 / $131.83	Facility		$28.18	$77.62	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $45.71	Professional		$19.95	$23.99	$45.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $158.49 / $5,011.87	Facility		$117.49	$158.49	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $45.71 / $102.33	Facility		$19.95	$45.71	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.54 / $69.18	Professional		$22.39	$27.54	$69.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.12 / $43.65	Professional		$14.13	$25.12	$43.65
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $52.48	Professional		$23.44	$30.20	$52.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $74.13 / $131.83	Facility		$28.18	$74.13	$131.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $89.13	Professional		$19.95	$25.12	$89.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $23.99 / $31.62	Facility		$5.50	$23.99	$31.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $29.51 / $72.44	Professional		$16.22	$29.51	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.20 / $36.31	Facility		$12.02	$30.20	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.78 / $44.67	Professional		$12.59	$17.78	$44.67