Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $66.07 / $389.05	Facility		$27.54	$66.07	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.88 / $102.33	Professional		$19.95	$21.88	$102.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $22.39 / $5,011.87	Facility		$19.05	$22.39	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $35.48 / $35.48	Professional		$30.90	$35.48	$35.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $346.74 / $977.24	Facility		$95.50	$346.74	$977.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $66.07 / $398.11	Facility		$21.88	$66.07	$398.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $102.33	Professional		$19.95	$23.99	$102.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $28.18 / $29.51	Facility		$18.20	$28.18	$29.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $24.55 / $43.65	Professional		$12.30	$24.55	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $38.02	Professional		$20.42	$20.42	$38.02