Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $36.31 / $56.23	Facility		$18.62	$36.31	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $25.70	Professional		$18.20	$18.20	$25.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $19.95 / $5,011.87	Facility		$16.98	$19.95	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.05 / $19.95	Professional		$18.62	$19.05	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $31.62 / $31.62	Professional		$27.54	$31.62	$31.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $33.88 / $56.23	Facility		$18.62	$33.88	$56.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $51.29	Professional		$18.20	$18.20	$51.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $18.62 / $21.38	Facility		$4.90	$18.62	$21.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $18.62 / $21.38	Professional		$4.90	$18.62	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.42 / $26.30	Professional		$18.20	$20.42	$26.30