Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $42.66 / $72.44	Facility		$15.49	$42.66	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $30.20	Professional		$8.91	$12.88	$30.20
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 $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $24.55 / $56.23	Facility		$10.96	$24.55	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $15.85 / $24.55	Professional		$7.41	$15.85	$24.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.77 / $23.99	Professional		$7.76	$9.77	$23.99
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.22 / $28.18	Professional		$11.48	$16.22	$28.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $40.74 / $72.44	Facility		$15.49	$40.74	$72.44
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 $16.60 / $21.38 / $21.38	Facility		$16.60	$21.38	$21.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $14.13 / $21.38	Professional		$7.59	$14.13	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $16.60 / $19.50	Facility		$8.32	$16.60	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.77 / $24.55	Professional		$6.92	$9.77	$24.55