Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $41.69 / $109.65	Facility		$15.14	$41.69	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $25.70	Professional		$10.00	$12.59	$25.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $100.00 / $5,011.87	Facility		$75.86	$100.00	$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 / $21.88 / $48.98	Facility		$9.55	$21.88	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.22 / $25.12	Professional		$8.91	$16.22	$25.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $14.45 / $20.89	Professional		$6.76	$14.45	$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
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $46.77 / $102.33	Facility		$18.20	$46.77	$102.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $10.72	Professional		$8.71	$8.71	$10.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $39.81 / $112.20	Facility		$15.14	$39.81	$112.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.88 / $52.48	Professional		$10.47	$12.88	$52.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.45 / $107.15	Facility		$12.02	$14.45	$107.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $107.15	Professional		$12.02	$14.45	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $14.45 / $17.38	Facility		$9.55	$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