Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $43.65 / $56.23	Facility		$18.62	$43.65	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $22.39	Professional		$18.20	$18.20	$22.39
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $19.95 / $5,011.87	Facility		$16.98	$19.95	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $32.36	Professional		$27.54	$32.36	$32.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $35.48 / $56.23	Facility		$18.62	$35.48	$56.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.62 / $51.29	Professional		$18.20	$18.62	$51.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.38 / $20.89	Facility		$14.45	$17.38	$20.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $17.38 / $20.89	Professional		$8.32	$17.38	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $25.70	Professional		$18.62	$18.62	$25.70