Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $5.37 / $11.22	Facility		$2.24	$5.37	$11.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $6.17	Professional		$2.00	$2.00	$6.17
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.40 / $5,011.87	Facility		$2.04	$2.40	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Professional		$2.29	$2.29	$2.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $6.46	Facility		$2.19	$2.19	$6.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $6.46	Professional		$2.19	$2.19	$6.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $16.98 / $18.20	Professional		$1.55	$16.98	$18.20
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Facility		$2.19	$2.19	$2.19
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $4.68	Professional		$2.19	$2.19	$4.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $5.37 / $13.49	Facility		$2.24	$5.37	$13.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.24 / $6.76	Professional		$2.00	$2.24	$6.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $4.79 / $9.33	Facility		$3.16	$4.79	$9.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.79 / $9.33	Professional		$3.16	$4.79	$9.33
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.68 / $0.85	Facility		$0.02	$0.68	$0.85
United Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $2.19 / $3.80	Professional		$0.87	$2.19	$3.80