Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $33.11 / $75.86	Facility		$9.33	$33.11	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.76 / $15.85	Professional		$6.03	$7.76	$15.85
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $61.66 / $5,011.87	Facility		$46.77	$61.66	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $8.71	Professional		$6.92	$6.92	$8.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $13.49 / $30.20	Facility		$5.89	$13.49	$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 / $8.91 / $12.88	Professional		$4.17	$8.91	$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 $8.91 / $10.00 / $15.49	Professional		$8.91	$10.00	$15.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $20.42 / $57.54	Facility		$13.80	$20.42	$57.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.03 / $7.41	Professional		$5.37	$6.03	$7.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $31.62 / $75.86	Facility		$10.00	$31.62	$75.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.13 / $31.62	Professional		$6.03	$8.13	$31.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
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 / $5.75 / $15.49	Professional		$3.98	$5.75	$15.49