Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $51.29 / $85.11	Facility		$18.20	$51.29	$85.11
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 $104.71 / $138.04 / $5,011.87	Facility		$104.71	$138.04	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $30.20 / $67.61	Facility		$13.18	$30.20	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.39 / $33.88	Professional		$12.30	$22.39	$33.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.48 / $28.18	Professional		$9.12	$11.48	$28.18
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.88 / $33.88	Professional		$19.50	$21.88	$33.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $46.77	Facility		$40.74	$40.74	$46.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $51.29 / $87.10	Facility		$18.20	$51.29	$87.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.50 / $69.18	Professional		$14.45	$19.50	$69.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $18.62 / $27.54	Facility		$12.02	$18.62	$27.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $27.54 / $316.23	Professional		$14.45	$27.54	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.50 / $23.44	Facility		$13.18	$19.50	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.59 / $33.88	Professional		$8.91	$12.59	$33.88