Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $47.86 / $81.28	Facility		$23.44	$47.86	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $20.89	Professional		$12.02	$14.13	$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 $12.30 / $25.12 / $63.10	Facility		$12.30	$25.12	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $26.30	Professional		$20.89	$20.89	$26.30
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 $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.49 / $31.62	Professional		$12.88	$15.49	$31.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $46.77 / $81.28	Facility		$21.38	$46.77	$81.28
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 $12.30 / $19.95 / $26.92	Facility		$12.30	$19.95	$26.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $18.20 / $26.92	Professional		$11.48	$18.20	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $18.20 / $21.88	Facility		$10.00	$18.20	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.96 / $27.54	Professional		$7.76	$10.96	$27.54