Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $57.54 / $95.50	Facility		$20.42	$57.54	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $64.57	Professional		$14.13	$18.20	$64.57
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 $16.98 / $16.98 / $44.67	Professional		$16.98	$16.98	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $36.31 / $74.13	Facility		$18.62	$36.31	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.42 / $46.77	Professional		$12.02	$20.42	$46.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $28.84 / $41.69	Professional		$15.49	$28.84	$41.69
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.20 / $52.48	Professional		$21.88	$30.20	$52.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $56.23 / $95.50	Facility		$20.42	$56.23	$95.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $89.13	Professional		$15.14	$19.95	$89.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $25.12 / $27.54	Facility		$24.55	$25.12	$27.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $25.12 / $27.54	Professional		$24.55	$25.12	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $26.30	Facility		$21.88	$21.88	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.18 / $31.62	Professional		$9.12	$13.18	$31.62