Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $112.20	Facility		$67.61	$67.61	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $74.13	Professional		$67.61	$67.61	$74.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $75.86 / $5,011.87	Facility		$63.10	$75.86	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $112.20	Facility		$67.61	$67.61	$112.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $81.28	Professional		$67.61	$67.61	$81.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $39.81	Facility		$7.08	$7.08	$39.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $39.81	Professional		$7.08	$7.08	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $97.72	Professional		$66.07	$79.43	$97.72