Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $39.81 / $64.57	Facility		$16.60	$39.81	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $28.18	Professional		$8.91	$12.02	$28.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $77.62 / $5,011.87	Facility		$58.88	$77.62	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $23.99 / $53.70	Facility		$10.47	$23.99	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $15.14 / $23.44	Professional		$7.41	$15.14	$23.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $13.49 / $22.39	Professional		$7.41	$13.49	$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 $11.48 / $15.49 / $26.92	Professional		$11.48	$15.49	$26.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $38.90 / $64.57	Facility		$16.60	$38.90	$64.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $51.29	Professional		$10.00	$12.88	$51.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $25.12 / $25.12	Facility		$15.49	$25.12	$25.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $14.45 / $33.11	Professional		$8.13	$14.45	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $15.49 / $18.62	Facility		$8.32	$15.49	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.77 / $23.44	Professional		$6.61	$9.77	$23.44