Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.15 / $54.95	Professional		$25.70	$37.15	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $112.20	Professional		$15.49	$19.50	$112.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $28.18	Professional		$15.14	$21.88	$28.18
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $147.91	Professional		$42.66	$42.66	$147.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $36.31 / $54.95	Professional		$22.91	$36.31	$54.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $45.71 / $58.88	Facility		$44.67	$45.71	$58.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $44.67 / $239.88	Professional		$13.80	$44.67	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $107.15 / $131.83	Facility		$56.23	$107.15	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $57.54 / $104.71	Professional		$20.42	$57.54	$104.71