Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $41.69 / $63.10	Facility		$20.89	$41.69	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $40.74	Professional		$19.95	$19.95	$40.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $22.39 / $5,011.87	Facility		$19.05	$22.39	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $36.31	Professional		$30.90	$36.31	$36.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $41.69 / $63.10	Facility		$20.89	$41.69	$63.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $57.54	Professional		$19.95	$20.89	$57.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $25.12 / $46.77	Facility		$3.47	$25.12	$46.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $25.12 / $42.66	Professional		$3.47	$25.12	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $38.02	Professional		$20.89	$20.89	$38.02