Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $51.29 / $89.13	Facility		$16.60	$51.29	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $69.18	Professional		$14.13	$16.98	$69.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $138.04 / $5,011.87	Facility		$102.33	$138.04	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $18.62	Professional		$15.14	$15.14	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $30.20 / $67.61	Facility		$13.18	$30.20	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $22.39 / $33.88	Professional		$12.02	$22.39	$33.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $11.48 / $28.18	Professional		$6.76	$11.48	$28.18
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.88 / $33.88	Professional		$19.50	$21.88	$33.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $46.77 / $97.72	Facility		$6.46	$46.77	$97.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $19.05	Professional		$11.75	$14.79	$19.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $51.29 / $93.33	Facility		$16.60	$51.29	$93.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $77.62	Professional		$14.13	$18.20	$77.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $20.42 / $28.18	Facility		$19.50	$20.42	$28.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $20.42 / $28.18	Professional		$6.92	$20.42	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.50 / $23.44	Facility		$13.18	$19.50	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.80 / $33.88	Professional		$8.71	$13.80	$33.88