Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $39.81 / $245.47	Facility		$38.02	$39.81	$245.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $39.81 / $70.79	Professional		$12.30	$39.81	$70.79