Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $21.38 / $33.88	Facility		$11.22	$21.38	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $15.14	Professional		$10.96	$10.96	$15.14
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $12.02 / $5,011.87	Facility		$10.23	$12.02	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $11.22 / $11.22	Facility		$10.47	$11.22	$11.22
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.50 / $19.50	Professional		$16.60	$19.50	$19.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $19.05 / $33.88	Facility		$11.22	$19.05	$33.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $30.90	Professional		$10.96	$10.96	$30.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $13.49 / $20.42	Facility		$11.48	$13.49	$20.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $12.88 / $20.42	Professional		$3.55	$12.88	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $15.85	Professional		$11.22	$11.22	$15.85