Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $15.14 / $25.70	Facility		$5.50	$15.14	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $11.22	Professional		$3.02	$3.98	$11.22
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $30.20 / $5,011.87	Facility		$22.91	$30.20	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $4.57	Professional		$4.57	$4.57	$4.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $8.71 / $19.95	Facility		$3.89	$8.71	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $5.62 / $8.71	Professional		$2.63	$5.62	$8.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $4.79 / $8.51	Professional		$2.75	$4.79	$8.51
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.62 / $10.00	Professional		$4.47	$5.62	$10.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $14.45 / $25.70	Facility		$5.50	$14.45	$25.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.01 / $19.05	Professional		$3.89	$5.01	$19.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $7.24 / $7.24	Facility		$5.75	$7.24	$7.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.24 / $7.24	Professional		$5.75	$7.24	$7.24
United Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $5.75 / $6.92	Facility		$2.95	$5.75	$6.92
United Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.63 / $8.71	Professional		$2.45	$3.63	$8.71