Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $25.70 / $44.67	Facility		$10.00	$25.70	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $16.98	Professional		$6.03	$7.08	$16.98
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $50.12 / $5,011.87	Facility		$37.15	$50.12	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $14.45 / $32.36	Facility		$6.46	$14.45	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $9.12 / $14.45	Professional		$4.47	$9.12	$14.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.62 / $13.80	Professional		$4.47	$5.62	$13.80
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Facility		$9.55	$9.55	$9.55
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.33 / $16.60	Professional		$7.41	$9.33	$16.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $24.55 / $42.66	Facility		$10.00	$24.55	$42.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $28.84	Professional		$6.03	$7.94	$28.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $9.55 / $12.88	Facility		$5.50	$9.55	$12.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $9.55 / $12.88	Professional		$5.50	$9.55	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $9.55 / $11.48	Facility		$4.90	$9.55	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.75 / $14.45	Professional		$3.98	$5.75	$14.45