Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $38.90 / $63.10	Facility		$13.49	$38.90	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $25.70	Professional		$8.91	$12.02	$25.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $102.33 / $5,011.87	Facility		$75.86	$102.33	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $14.13	Professional		$11.22	$11.22	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $22.39 / $48.98	Facility		$9.55	$22.39	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.60 / $25.12	Professional		$8.91	$16.60	$25.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.51 / $20.89	Professional		$6.76	$8.51	$20.89
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.22 / $25.12	Professional		$14.45	$16.22	$25.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $38.02 / $64.57	Facility		$13.49	$38.02	$64.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $42.66	Professional		$10.00	$12.88	$42.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $14.45 / $19.95	Facility		$3.55	$14.45	$19.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $14.45 / $20.42	Professional		$8.13	$14.45	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $14.45 / $17.38	Facility		$9.77	$14.45	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.33 / $25.12	Professional		$6.03	$9.33	$25.12