Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $9.55 / $12.30	Facility		$4.07	$9.55	$12.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $6.17	Professional		$3.98	$3.98	$6.17
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $4.37 / $5,011.87	Facility		$3.72	$4.37	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Facility		$4.07	$4.07	$4.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Facility		$4.07	$4.07	$4.07
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $7.08	Professional		$6.03	$7.08	$7.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $7.76 / $12.30	Facility		$4.07	$7.76	$12.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $10.72	Professional		$3.98	$3.98	$10.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $4.68 / $4.79	Facility		$2.45	$4.68	$4.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $0.51 / $4.68 / $16.22	Professional		$0.51	$4.68	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Facility		$4.07	$4.07	$4.07
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $5.62	Professional		$4.07	$4.07	$5.62