Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $67.61 / $102.33	Facility		$33.88	$67.61	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.88 / $47.86	Professional		$33.11	$33.88	$47.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $37.15 / $5,011.87	Facility		$30.90	$37.15	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $58.88	Professional		$51.29	$58.88	$58.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $61.66 / $102.33	Facility		$33.88	$61.66	$102.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.88 / $91.20	Professional		$33.11	$33.88	$91.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $42.66 / $114.82	Facility		$38.02	$42.66	$114.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $114.82	Professional		$38.02	$44.67	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $61.66	Professional		$33.88	$33.88	$61.66