Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $54.95 / $87.10	Facility		$18.62	$54.95	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $58.88	Professional		$14.13	$16.98	$58.88
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 $15.49 / $15.49 / $44.67	Professional		$15.49	$15.49	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $32.36 / $67.61	Facility		$18.62	$32.36	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.05 / $44.67	Professional		$12.02	$19.05	$44.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $26.30 / $38.02	Professional		$14.13	$26.30	$38.02
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $51.29	Professional		$20.89	$30.20	$51.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $52.48 / $89.13	Facility		$18.62	$52.48	$89.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $83.18	Professional		$14.45	$18.20	$83.18
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 $20.42 / $25.12 / $27.54	Professional		$20.42	$25.12	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $23.99	Facility		$19.95	$19.95	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $31.62	Professional		$8.51	$12.02	$31.62