Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $33.11 / $54.95	Facility		$10.00	$33.11	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $21.88	Professional		$8.91	$10.00	$21.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $87.10 / $5,011.87	Facility		$66.07	$87.10	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $12.30	Professional		$9.77	$9.77	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $19.50 / $42.66	Facility		$8.32	$19.50	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $14.13 / $21.88	Professional		$7.59	$14.13	$21.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.41 / $18.20	Professional		$5.89	$7.41	$18.20
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $13.80 / $21.38	Professional		$12.59	$13.80	$21.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $36.31 / $95.50	Facility		$25.70	$36.31	$95.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $9.77	Professional		$7.41	$7.41	$9.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $33.11 / $54.95	Facility		$11.75	$33.11	$54.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $45.71	Professional		$8.91	$10.96	$45.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $10.96 / $15.85	Facility		$9.33	$10.96	$15.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.59 / $17.78	Professional		$9.33	$12.59	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $12.59 / $14.79	Facility		$8.32	$12.59	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $9.12 / $21.88	Professional		$5.62	$9.12	$21.88