Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $54.95 / $117.49	Facility		$21.38	$54.95	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $36.31	Professional		$15.14	$16.98	$36.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $141.25 / $5,011.87	Facility		$107.15	$141.25	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $17.78	Professional		$15.85	$15.85	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $30.90 / $69.18	Facility		$13.49	$30.90	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.91 / $35.48	Professional		$12.30	$22.91	$35.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $20.42 / $29.51	Professional		$9.55	$20.42	$29.51
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.39 / $34.67	Professional		$20.42	$22.39	$34.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $53.70 / $95.50	Facility		$21.38	$53.70	$95.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.05 / $74.13	Professional		$14.79	$19.05	$74.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $28.84 / $32.36	Facility		$20.42	$28.84	$32.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.84 / $112.20	Professional		$20.42	$28.84	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $20.42 / $23.99	Facility		$13.49	$20.42	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.18 / $35.48	Professional		$9.12	$13.18	$35.48