Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $45.71 / $125.89	Facility		$18.20	$45.71	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $97.72	Professional		$12.02	$16.98	$97.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $109.65 / $5,011.87	Facility		$81.28	$109.65	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $23.99 / $52.48	Facility		$10.47	$23.99	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $17.78 / $26.92	Professional		$9.77	$17.78	$26.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.12 / $22.39	Professional		$7.24	$9.12	$22.39
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $17.38 / $26.92	Professional		$15.49	$17.38	$26.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $66.07 / $128.82	Facility		$37.15	$66.07	$128.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $41.69 / $117.49	Facility		$16.60	$41.69	$117.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $95.50	Professional		$12.02	$18.20	$95.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $16.60 / $33.88	Facility		$15.49	$16.60	$33.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $16.60 / $33.88	Professional		$4.27	$16.60	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $15.49 / $18.62	Facility		$10.47	$15.49	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $15.49 / $26.30	Professional		$9.33	$15.49	$26.30