Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $56.23 / $95.50	Facility		$20.42	$56.23	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.98 / $38.90	Professional		$8.91	$16.98	$38.90
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 $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $31.62 / $64.57	Facility		$14.13	$31.62	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $20.89 / $31.62	Professional		$7.41	$20.89	$31.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.49 / $31.62	Professional		$10.23	$13.49	$31.62
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 $11.48 / $18.62 / $38.02	Professional		$11.48	$18.62	$38.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $54.95 / $95.50	Facility		$20.42	$54.95	$95.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $18.20 / $64.57	Professional		$11.22	$18.20	$64.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $10.96 / $30.20	Facility		$6.76	$10.96	$30.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.96 / $30.20	Professional		$6.76	$10.96	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $21.88 / $26.30	Facility		$10.96	$21.88	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.18 / $26.92	Professional		$8.71	$13.18	$26.92