Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $45.71 / $74.13	Facility		$15.85	$45.71	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $30.20	Professional		$12.02	$14.13	$30.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $117.49 / $5,011.87	Facility		$89.13	$117.49	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $16.60	Professional		$13.18	$13.18	$16.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $26.30 / $57.54	Facility		$11.22	$26.30	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $19.05 / $29.51	Professional		$10.23	$19.05	$29.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $24.55	Professional		$7.94	$10.00	$24.55
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $18.62 / $29.51	Professional		$16.98	$18.62	$29.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $44.67 / $75.86	Facility		$15.85	$44.67	$75.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $61.66	Professional		$12.02	$15.85	$61.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $24.55 / $24.55	Facility		$8.71	$24.55	$24.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $23.99 / $24.55	Professional		$8.71	$23.99	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.98 / $20.42	Facility		$11.22	$16.98	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.30 / $29.51	Professional		$7.59	$12.30	$29.51