Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $41.69 / $69.18	Facility		$15.49	$41.69	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $25.70	Professional		$10.96	$12.02	$25.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $102.33 / $5,011.87	Facility		$77.62	$102.33	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $14.45	Professional		$11.48	$11.48	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $22.91 / $50.12	Facility		$9.77	$22.91	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.60 / $25.70	Professional		$8.91	$16.60	$25.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $14.79 / $21.38	Professional		$6.92	$14.79	$21.38
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.60 / $25.70	Professional		$14.79	$16.60	$25.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $39.81 / $69.18	Facility		$15.49	$39.81	$69.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.88 / $52.48	Professional		$10.72	$12.88	$52.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $14.79	Facility		$13.18	$13.18	$14.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $20.89	Professional		$13.18	$13.18	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $14.79 / $17.78	Facility		$9.77	$14.79	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.55 / $25.70	Professional		$6.17	$9.55	$25.70