Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $77.62 / $131.83	Facility		$28.18	$77.62	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $79.43	Professional		$16.98	$23.99	$79.43
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 $23.44 / $23.44 / $44.67	Professional		$23.44	$23.44	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $46.77 / $102.33	Facility		$19.95	$46.77	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $23.44 / $46.77	Professional		$12.59	$23.44	$46.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.90 / $57.54	Professional		$20.89	$38.90	$57.54
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $35.48 / $66.07	Professional		$22.39	$35.48	$66.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $75.86 / $131.83	Facility		$28.18	$75.86	$131.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $107.15	Professional		$18.20	$26.92	$107.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $27.54 / $27.54	Facility		$24.55	$27.54	$27.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $27.54 / $27.54	Professional		$24.55	$27.54	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $36.31	Facility		$30.20	$30.20	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.20 / $37.15	Professional		$12.59	$18.20	$37.15