Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.75 / $2.75	Facility		$2.09	$2.75	$2.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.82 / $295.12	Professional		$2.63	$2.82	$295.12
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.05 / $5,011.87	Facility		$0.04	$0.05	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Professional		$0.05	$0.05	$0.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Facility		$0.05	$0.05	$0.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Professional		$0.05	$0.05	$0.05
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Facility		$0.05	$0.05	$0.05
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.09 / $0.09	Professional		$0.08	$0.09	$0.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Facility		$2.75	$2.75	$2.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.82 / $295.12	Professional		$2.63	$2.82	$295.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.07 / $0.31	Facility		$0.07	$0.07	$0.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.20 / $0.31	Professional		$0.07	$0.20	$0.31
United Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.21 / $0.21	Facility		$0.21	$0.21	$0.21
United Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.06 / $0.09	Professional		$0.05	$0.06	$0.09