Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $5.75 / $7.59	Facility		$2.51	$5.75	$7.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.47	Professional		$2.00	$2.00	$3.47
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.69 / $5,011.87	Facility		$2.29	$2.69	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $2.57	Professional		$2.57	$2.57	$2.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $2.45 / $2.45	Facility		$2.45	$2.45	$2.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $2.45	Professional		$2.45	$2.45	$2.45
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $2.45 / $2.45	Facility		$2.45	$2.45	$2.45
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.27 / $4.27	Professional		$3.72	$4.27	$4.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $4.68 / $7.59	Facility		$2.51	$4.68	$7.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $6.92	Professional		$2.00	$2.00	$6.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.45 / $2.88	Facility		$2.04	$2.45	$2.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.34 / $2.88	Professional		$2.04	$2.34	$2.88
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $2.45 / $2.45	Facility		$2.45	$2.45	$2.45
United Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $3.39	Professional		$2.45	$2.45	$3.39