Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $46.77 / $75.86	Facility		$20.89	$46.77	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $19.05	Professional		$10.00	$12.88	$19.05
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 $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $27.54 / $58.88	Facility		$16.98	$27.54	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.44 / $37.15	Professional		$18.20	$23.44	$37.15
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.84 / $43.65	Professional		$18.62	$28.84	$43.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $46.77 / $75.86	Facility		$19.05	$46.77	$75.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $51.29	Professional		$10.00	$14.13	$51.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $20.89 / $28.18	Facility		$17.38	$20.89	$28.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.55 / $64.57	Professional		$17.38	$24.55	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $20.42	Facility		$17.38	$17.38	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.23 / $21.38	Professional		$7.24	$10.23	$21.38