Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $85.11 / $426.58	Facility		$29.51	$85.11	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $40.74	Professional		$28.84	$28.84	$40.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $31.62 / $5,011.87	Facility		$26.92	$31.62	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $50.12 / $50.12	Professional		$43.65	$50.12	$50.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $64.57 / $186.21	Facility		$13.49	$64.57	$186.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $81.28 / $426.58	Facility		$29.51	$81.28	$426.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $29.51 / $81.28	Professional		$28.84	$29.51	$81.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $45.71 / $58.88	Facility		$34.67	$45.71	$58.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $58.88	Professional		$34.67	$45.71	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $40.74	Professional		$28.84	$28.84	$40.74