Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $43.65	Professional		$21.88	$30.90	$43.65
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $27.54 / $40.74	Professional		$26.92	$27.54	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $125.89	Facility		$54.95	$54.95	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $165.96	Professional		$40.74	$48.98	$165.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $45.71 / $69.18	Professional		$25.70	$45.71	$69.18
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $43.65	Professional		$21.88	$30.90	$43.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $26.30 / $34.67	Professional		$14.79	$26.30	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.12 / $45.71	Professional		$17.38	$25.12	$45.71