Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $72.44 / $131.83	Facility		$45.71	$72.44	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $54.95	Professional		$38.90	$45.71	$54.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $41.69 / $5,011.87	Facility		$35.48	$41.69	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Facility		$3.98	$3.98	$3.98
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $70.79 / $120.23	Facility		$45.71	$70.79	$120.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $66.07	Professional		$38.02	$45.71	$66.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $44.67	Facility		$38.02	$38.02	$44.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $38.02 / $72.44	Professional		$8.51	$38.02	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $63.10	Professional		$45.71	$45.71	$63.10