Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $67.61 / $102.33	Facility		$33.11	$67.61	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $26.92	Professional		$15.14	$19.95	$26.92
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $39.81 / $85.11	Facility		$24.55	$39.81	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $53.70	Professional		$26.30	$33.88	$53.70
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $41.69 / $63.10	Professional		$26.92	$41.69	$63.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $63.10 / $102.33	Facility		$33.88	$63.10	$102.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $63.10	Professional		$15.14	$19.95	$63.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $19.95 / $27.54	Facility		$14.79	$19.95	$27.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $17.38 / $25.12	Professional		$6.31	$17.38	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $30.20	Facility		$25.12	$25.12	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.14 / $30.90	Professional		$10.47	$15.14	$30.90