Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $52.48	Professional		$30.20	$41.69	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $181.97	Professional		$15.49	$19.50	$181.97
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 $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $52.48	Professional		$28.84	$41.69	$52.48
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 $12.59 / $44.67 / $239.88	Professional		$12.59	$44.67	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $389.05 / $478.63	Facility		$199.53	$389.05	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $104.71	Professional		$36.31	$57.54	$104.71