Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $38.90 / $77.62	Facility		$15.49	$38.90	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $83.18	Professional		$10.00	$12.02	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $9.33	Professional		$6.61	$6.61	$9.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $93.33 / $5,011.87	Facility		$70.79	$93.33	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $41.69	Professional		$10.23	$10.23	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $20.42 / $44.67	Facility		$8.91	$20.42	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $14.79 / $23.44	Professional		$8.13	$14.79	$23.44
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 $12.88 / $14.79 / $22.91	Professional		$12.88	$14.79	$22.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $41.69 / $85.11	Facility		$19.95	$41.69	$85.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $10.23	Professional		$7.94	$7.94	$10.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $38.02 / $77.62	Facility		$14.13	$38.02	$77.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.88 / $54.95	Professional		$9.77	$12.88	$54.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $17.38 / $19.95	Facility		$11.75	$17.38	$19.95
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 $8.91 / $13.18 / $15.85	Facility		$8.91	$13.18	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.77 / $22.91	Professional		$6.03	$9.77	$22.91