Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $79.43 / $1,862.09	Facility		$12.88	$79.43	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $134.90	Professional		$10.96	$15.14	$134.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.42 / $20.89	Professional		$17.78	$20.42	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.62 / $24.55	Professional		$12.88	$18.62	$24.55
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $79.43 / $1,862.09	Facility		$12.88	$79.43	$1,862.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $72.44	Professional		$10.96	$15.14	$72.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $11.75 / $53.70	Professional		$3.24	$11.75	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.78 / $26.30	Professional		$12.88	$17.78	$26.30