Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $40.74 / $61.66	Facility		$12.02	$40.74	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $15.85	Professional		$7.94	$12.02	$15.85
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 $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $23.99 / $50.12	Facility		$14.45	$23.99	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.95 / $32.36	Professional		$15.49	$19.95	$32.36
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $24.55 / $37.15	Professional		$16.22	$24.55	$37.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $40.74 / $61.66	Facility		$15.85	$40.74	$61.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $37.15	Professional		$7.94	$12.02	$37.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $16.22 / $16.22	Facility		$14.79	$16.22	$16.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $21.88	Professional		$12.88	$16.22	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $17.78	Facility		$14.79	$14.79	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.91 / $18.62	Professional		$6.31	$8.91	$18.62