Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $48.98 / $114.82	Facility		$15.85	$48.98	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $35.48	Professional		$7.08	$10.00	$35.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $87.10 / $5,011.87	Facility		$66.07	$87.10	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $12.59	Professional		$10.23	$10.23	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $20.42 / $38.90	Facility		$8.71	$20.42	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $14.79 / $21.38	Professional		$7.76	$14.79	$21.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.72 / $19.05	Professional		$6.17	$10.72	$19.05
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $14.45 / $22.91	Professional		$13.18	$14.45	$22.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $33.11 / $69.18	Facility		$18.20	$33.11	$69.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.91 / $12.59	Professional		$7.94	$8.91	$12.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $46.77 / $134.90	Facility		$14.79	$46.77	$134.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.02 / $46.77	Professional		$8.71	$12.02	$46.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $17.78 / $21.88	Facility		$11.75	$17.78	$21.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.38 / $20.42	Professional		$11.75	$17.38	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $13.18 / $15.85	Facility		$8.71	$13.18	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.33 / $22.39	Professional		$6.03	$9.33	$22.39