Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $41.69 / $69.18	Facility		$14.79	$41.69	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $28.84	Professional		$8.91	$12.02	$28.84
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 $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $24.55 / $54.95	Facility		$10.72	$24.55	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $15.49 / $23.99	Professional		$7.41	$15.49	$23.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.33 / $22.91	Professional		$7.59	$9.33	$22.91
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.85 / $27.54	Professional		$11.48	$15.85	$27.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $39.81 / $69.18	Facility		$14.79	$39.81	$69.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $51.29	Professional		$10.00	$14.13	$51.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $11.22 / $22.91	Facility		$2.82	$11.22	$22.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $13.49 / $19.50	Professional		$6.31	$13.49	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $15.85 / $19.05	Facility		$8.32	$15.85	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.77 / $23.99	Professional		$6.76	$9.77	$23.99