Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $81.28 / $141.25	Facility		$27.54	$81.28	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $53.70	Professional		$21.88	$25.12	$53.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $208.93 / $5,011.87	Facility		$158.49	$208.93	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $29.51	Professional		$22.91	$22.91	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $45.71 / $102.33	Facility		$19.95	$45.71	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.88 / $52.48	Professional		$18.20	$33.88	$52.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.38 / $42.66	Professional		$13.80	$17.38	$42.66
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $51.29	Professional		$29.51	$33.11	$51.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $77.62 / $131.83	Facility		$27.54	$77.62	$131.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $107.15	Professional		$21.88	$28.18	$107.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $43.65 / $43.65	Facility		$29.51	$43.65	$43.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $29.51 / $43.65	Professional		$15.49	$29.51	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $29.51 / $35.48	Facility		$19.95	$29.51	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.50 / $51.29	Professional		$12.59	$19.50	$51.29