Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $22.91 / $43.65	Facility		$7.59	$22.91	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $26.30	Professional		$6.03	$7.08	$26.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $57.54 / $5,011.87	Facility		$43.65	$57.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $8.13	Professional		$6.92	$6.92	$8.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $14.13 / $30.20	Facility		$6.03	$14.13	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $10.00 / $15.49	Professional		$5.50	$10.00	$15.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $8.13 / $12.88	Professional		$4.17	$8.13	$12.88
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $9.12 / $15.49	Professional		$8.51	$9.12	$15.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $20.42 / $47.86	Facility		$12.59	$20.42	$47.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $6.76	Professional		$5.37	$5.37	$6.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $22.39 / $43.65	Facility		$7.59	$22.39	$43.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $33.11	Professional		$6.03	$7.94	$33.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.00 / $39.81	Facility		$8.91	$10.00	$39.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $9.33 / $22.39	Professional		$8.71	$9.33	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $8.91 / $10.72	Facility		$6.03	$8.91	$10.72
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.50 / $14.45	Professional		$3.98	$5.50	$14.45