Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $42.66 / $288.40	Facility		$14.45	$42.66	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.80 / $41.69	Professional		$12.02	$13.80	$41.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $95.50 / $5,011.87	Facility		$70.79	$95.50	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $13.49	Professional		$12.02	$12.02	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $23.99 / $53.70	Facility		$10.47	$23.99	$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 $6.61 / $9.12 / $22.39	Professional		$6.61	$9.12	$22.39
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.49 / $26.92	Professional		$14.13	$15.49	$26.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $51.29 / $602.56	Facility		$22.91	$51.29	$602.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.22 / $12.88	Professional		$9.33	$11.22	$12.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $42.66 / $288.40	Facility		$13.18	$42.66	$288.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.13 / $57.54	Professional		$11.48	$14.13	$57.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $37.15 / $37.15	Facility		$15.49	$37.15	$37.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $37.15 / $37.15	Professional		$13.80	$37.15	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $15.49 / $18.62	Facility		$10.47	$15.49	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.23 / $29.51	Professional		$7.08	$10.23	$29.51