Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $50.12 / $81.28	Facility		$22.39	$50.12	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $20.89	Professional		$12.02	$15.14	$20.89
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $28.84 / $63.10	Facility		$12.59	$28.84	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $26.92	Professional		$21.38	$21.38	$26.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.96 / $26.92	Professional		$8.71	$10.96	$26.92
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.62 / $32.36	Professional		$14.13	$18.62	$32.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $47.86 / $77.62	Facility		$21.88	$47.86	$77.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $66.07	Professional		$12.02	$15.14	$66.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $18.62	Facility		$11.48	$11.48	$18.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.38 / $19.05	Professional		$11.48	$17.38	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $18.62 / $22.39	Facility		$10.23	$18.62	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.22 / $28.18	Professional		$7.76	$11.22	$28.18