Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $63.10 / $691.83	Facility		$20.89	$63.10	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $8.91 / $42.66	Professional		$7.76	$8.91	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.31 / $13.18	Professional		$5.25	$6.31	$13.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $74.13 / $5,011.87	Facility		$56.23	$74.13	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $33.88	Professional		$8.32	$8.32	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $16.60 / $35.48	Facility		$7.08	$16.60	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $11.75 / $18.62	Professional		$6.46	$11.75	$18.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $10.00 / $15.14	Professional		$4.79	$10.00	$15.14
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $11.75 / $18.20	Professional		$10.23	$11.75	$18.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $29.51 / $112.20	Facility		$16.60	$29.51	$112.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.92 / $10.00	Professional		$6.31	$6.92	$10.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $40.74 / $91.20	Facility		$11.48	$40.74	$91.20
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $64.57 / $707.95	Facility		$20.42	$64.57	$707.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.47 / $43.65	Professional		$7.76	$10.47	$43.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.88 / $17.38	Facility		$12.59	$12.88	$17.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.88 / $17.38	Professional		$12.59	$12.88	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $10.47 / $12.59	Facility		$5.75	$10.47	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.92 / $18.20	Professional		$4.47	$6.92	$18.20