Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $43.65 / $69.18	Facility		$19.50	$43.65	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $18.20	Professional		$10.00	$12.02	$18.20
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 $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $24.55 / $54.95	Facility		$10.72	$24.55	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $22.91	Professional		$18.20	$18.20	$22.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.33 / $22.91	Professional		$7.59	$9.33	$22.91
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $27.54	Professional		$12.02	$14.79	$27.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $43.65 / $69.18	Facility		$17.78	$43.65	$69.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $57.54	Professional		$10.00	$12.88	$57.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $13.80 / $17.78	Facility		$2.82	$13.80	$17.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $13.80 / $17.78	Professional		$2.82	$13.80	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $15.85 / $19.05	Facility		$8.71	$15.85	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $23.99	Professional		$6.76	$9.55	$23.99