Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $72.44 / $112.20	Facility		$36.31	$72.44	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $42.66	Professional		$36.31	$36.31	$42.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $39.81 / $5,011.87	Facility		$33.88	$39.81	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $63.10 / $63.10	Professional		$54.95	$63.10	$63.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $67.61 / $112.20	Facility		$36.31	$67.61	$112.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $102.33	Professional		$30.20	$36.31	$102.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $28.84 / $41.69	Facility		$12.02	$28.84	$41.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $28.84 / $41.69	Professional		$12.02	$28.84	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $50.12	Professional		$36.31	$36.31	$50.12