Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $34.67 / $56.23	Facility		$12.59	$34.67	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $10.00 / $23.44	Professional		$3.98	$10.00	$23.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $36.31 / $5,011.87	Facility		$27.54	$36.31	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $19.50 / $38.90	Facility		$8.71	$19.50	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $8.91 / $19.05	Professional		$3.24	$8.91	$19.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.31 / $19.50	Professional		$5.89	$6.31	$19.50
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $9.33 / $22.91	Professional		$5.37	$9.33	$22.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $33.11 / $56.23	Facility		$12.59	$33.11	$56.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.96 / $38.90	Professional		$5.01	$10.96	$38.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.61 / $8.71	Facility		$6.46	$6.61	$8.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $6.61 / $8.71	Professional		$3.47	$6.61	$8.71
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $13.49 / $15.85	Facility		$6.61	$13.49	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $7.41 / $15.85	Professional		$3.39	$7.41	$15.85