Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $66.07 / $117.49	Facility		$25.12	$66.07	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $61.66	Professional		$15.85	$19.05	$61.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $97.72 / $5,011.87	Facility		$74.13	$97.72	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $33.11 / $72.44	Facility		$14.45	$33.11	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $23.99 / $38.02	Professional		$13.18	$23.99	$38.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $30.90	Professional		$10.00	$12.59	$30.90
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.42 / $37.15	Professional		$14.45	$20.42	$37.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $58.88 / $107.15	Facility		$31.62	$58.88	$107.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.18 / $16.22	Professional		$12.88	$13.18	$16.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $64.57 / $117.49	Facility		$23.99	$64.57	$117.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $79.43	Professional		$15.85	$19.95	$79.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $24.55	Facility		$14.13	$14.13	$24.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $16.22 / $32.36	Professional		$5.50	$16.22	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $21.38 / $25.70	Facility		$14.45	$21.38	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $32.36	Professional		$8.91	$12.88	$32.36