Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $42.66 / $72.44	Facility		$17.38	$42.66	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $28.84	Professional		$12.02	$14.13	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $114.82 / $5,011.87	Facility		$87.10	$114.82	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $14.45	Professional		$12.88	$12.88	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $25.70 / $56.23	Facility		$10.96	$25.70	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $18.20 / $28.84	Professional		$10.00	$18.20	$28.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.72 / $23.99	Professional		$7.76	$10.72	$23.99
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.20 / $28.18	Professional		$15.85	$18.20	$28.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $56.23 / $74.13	Facility		$38.02	$56.23	$74.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $42.66 / $72.44	Facility		$17.38	$42.66	$72.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $58.88	Professional		$12.02	$15.14	$58.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $17.78 / $17.78	Facility		$16.22	$17.78	$17.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.78 / $23.44	Professional		$14.45	$17.78	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $16.22 / $19.50	Facility		$10.96	$16.22	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $12.02 / $28.18	Professional		$7.41	$12.02	$28.18