Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $30.20 / $45.71	Facility		$15.14	$30.20	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $30.20	Professional		$15.14	$15.14	$30.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $16.22 / $5,011.87	Facility		$13.80	$16.22	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $26.30	Professional		$22.39	$26.30	$26.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $28.84 / $45.71	Facility		$15.14	$28.84	$45.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $41.69	Professional		$15.14	$15.14	$41.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $17.38 / $21.88	Facility		$11.22	$17.38	$21.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $17.38 / $21.88	Professional		$9.55	$17.38	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $20.89	Professional		$15.14	$15.14	$20.89