Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $18.62 / $43.65	Facility		$7.08	$18.62	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $54.95	Professional		$30.20	$33.88	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $25.12 / $28.84	Professional		$8.71	$25.12	$28.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $36.31 / $5,011.87	Facility		$30.90	$36.31	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $34.67	Facility		$33.88	$33.88	$34.67
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $19.05 / $43.65	Facility		$7.94	$19.05	$43.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $53.70	Professional		$30.20	$32.36	$53.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $37.15 / $39.81	Facility		$19.50	$37.15	$39.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $37.15 / $39.81	Professional		$19.50	$37.15	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $32.36	Facility		$30.90	$30.90	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $44.67	Professional		$33.88	$36.31	$44.67