Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $43.65 / $141.25	Facility		$19.50	$43.65	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $26.92	Professional		$10.96	$12.88	$26.92
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $107.15 / $5,011.87	Facility		$81.28	$107.15	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $14.45	Professional		$11.75	$11.75	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $23.44 / $51.29	Facility		$10.23	$23.44	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $17.38 / $26.92	Professional		$9.33	$17.38	$26.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $21.88	Professional		$7.08	$8.91	$21.88
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $26.30	Professional		$15.14	$16.98	$26.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $57.54 / $173.78	Facility		$30.20	$57.54	$173.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.75 / $14.45	Professional		$9.12	$11.75	$14.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $41.69 / $141.25	Facility		$16.98	$41.69	$141.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $43.65	Professional		$10.96	$14.13	$43.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $19.95 / $19.95	Facility		$15.14	$19.95	$19.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $18.20 / $21.88	Professional		$11.75	$18.20	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $15.14 / $18.20	Facility		$10.23	$15.14	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.00 / $26.30	Professional		$6.46	$10.00	$26.30