Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $41.69 / $67.61	Facility		$14.45	$41.69	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $28.18	Professional		$10.96	$12.88	$28.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $109.65 / $5,011.87	Facility		$81.28	$109.65	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $15.49	Professional		$12.02	$12.02	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $23.99 / $52.48	Facility		$10.47	$23.99	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $17.78 / $26.92	Professional		$9.55	$17.78	$26.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $15.49 / $22.39	Professional		$7.24	$15.49	$22.39
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $17.38 / $26.92	Professional		$15.49	$17.38	$26.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $40.74 / $69.18	Facility		$14.45	$40.74	$69.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $54.95	Professional		$10.96	$14.13	$54.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.62 / $22.39	Facility		$15.49	$18.62	$22.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.39 / $87.10	Professional		$16.60	$22.39	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $15.49 / $18.62	Facility		$10.47	$15.49	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.00 / $26.92	Professional		$6.46	$10.00	$26.92