Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $28.84 / $46.77	Facility		$10.00	$28.84	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.91 / $38.02	Professional		$7.94	$8.91	$38.02
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $74.13 / $5,011.87	Facility		$56.23	$74.13	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $16.60 / $37.15	Facility		$7.08	$16.60	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $11.75 / $18.62	Professional		$6.46	$11.75	$18.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.31 / $15.49	Professional		$5.01	$6.31	$15.49
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.02 / $18.62	Professional		$10.72	$12.02	$18.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $28.18 / $47.86	Facility		$10.00	$28.18	$47.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.00 / $43.65	Professional		$7.76	$10.00	$43.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $10.72	Facility		$8.71	$8.71	$10.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.71 / $12.02	Professional		$7.41	$8.71	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $10.72 / $12.88	Facility		$7.08	$10.72	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.76 / $18.62	Professional		$4.79	$7.76	$18.62