Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $75.86 / $138.04	Facility		$50.12	$75.86	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $48.98 / $57.54	Professional		$45.71	$48.98	$57.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $48.98 / $5,011.87	Facility		$40.74	$48.98	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Facility		$7.08	$7.08	$7.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $74.13 / $128.82	Facility		$50.12	$74.13	$128.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $48.98 / $70.79	Professional		$45.71	$48.98	$70.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $47.86 / $57.54	Facility		$41.69	$47.86	$57.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $57.54	Professional		$32.36	$42.66	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $67.61	Professional		$48.98	$48.98	$67.61