Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $37.15 / $60.26	Facility		$16.60	$37.15	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $15.14	Professional		$8.91	$10.96	$15.14
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 $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $20.89 / $46.77	Facility		$9.12	$20.89	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $19.50	Professional		$15.85	$15.85	$19.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.13 / $19.95	Professional		$6.46	$8.13	$19.95
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 $11.48 / $13.80 / $23.99	Professional		$11.48	$13.80	$23.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $34.67 / $57.54	Facility		$16.22	$34.67	$57.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.96 / $48.98	Professional		$10.00	$10.96	$48.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $13.80 / $16.98	Facility		$0.07	$13.80	$16.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $12.02 / $16.98	Professional		$0.07	$12.02	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $13.80 / $16.60	Facility		$7.59	$13.80	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.32 / $20.42	Professional		$6.03	$8.32	$20.42