Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $93.33 / $147.91	Facility		$28.84	$93.33	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $26.92 / $38.90	Professional		$10.00	$26.92	$38.90
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 $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $52.48 / $117.49	Facility		$22.91	$52.48	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $1,621.81	Professional		$38.90	$48.98	$1,621.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.95 / $48.98	Professional		$16.22	$19.95	$48.98
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $58.88	Professional		$26.30	$33.11	$58.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $23.99	Professional		$20.42	$20.42	$23.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $87.10 / $144.54	Facility		$28.84	$87.10	$144.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $26.92 / $100.00	Professional		$10.00	$26.92	$100.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.88 / $81.28	Facility		$28.84	$33.88	$81.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $32.36 / $81.28	Professional		$1.78	$32.36	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $33.88 / $40.74	Facility		$18.62	$33.88	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $51.29	Professional		$14.79	$20.89	$51.29