Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $33.88 / $112.20	Facility		$13.80	$33.88	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $38.02	Professional		$12.88	$12.88	$38.02
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $15.14 / $5,011.87	Facility		$12.88	$15.14	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.99 / $23.99	Professional		$20.89	$23.99	$23.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $46.77	Facility		$42.66	$42.66	$46.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $33.88 / $89.13	Facility		$13.80	$33.88	$89.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.13 / $41.69	Professional		$12.88	$14.13	$41.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $17.78 / $23.99	Facility		$15.85	$17.78	$23.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $17.78 / $23.99	Professional		$15.85	$17.78	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $25.12	Professional		$13.80	$13.80	$25.12