Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $51.29 / $85.11	Facility		$18.20	$51.29	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $37.15	Professional		$14.13	$16.98	$37.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $134.90 / $5,011.87	Facility		$102.33	$134.90	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $19.05	Professional		$15.14	$15.14	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $30.20 / $66.07	Facility		$12.88	$30.20	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $21.88 / $33.88	Professional		$11.75	$21.88	$33.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $19.50 / $28.18	Professional		$9.12	$19.50	$28.18
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.38 / $33.88	Professional		$19.50	$21.38	$33.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $39.81 / $61.66	Facility		$38.90	$39.81	$61.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $51.29 / $87.10	Facility		$18.20	$51.29	$87.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.50 / $70.79	Professional		$14.13	$19.50	$70.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $16.22 / $20.89	Facility		$0.21	$16.22	$20.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.62 / $83.18	Professional		$14.13	$18.62	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $19.50 / $23.44	Facility		$12.88	$19.50	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.13 / $33.88	Professional		$8.71	$14.13	$33.88