Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $18.20 / $75.86	Facility		$4.57	$18.20	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $12.88	Professional		$2.00	$3.02	$12.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.91 / $3.98	Professional		$1.35	$1.91	$3.98
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $22.39 / $5,011.87	Facility		$16.60	$22.39	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $10.96	Professional		$2.45	$2.45	$10.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $5.01 / $11.22	Facility		$2.19	$5.01	$11.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.47 / $5.50	Professional		$2.04	$3.47	$5.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $3.16 / $4.57	Professional		$1.48	$3.16	$4.57
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.16 / $3.16	Facility		$3.16	$3.16	$3.16
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.47 / $5.50	Professional		$3.09	$3.47	$5.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $8.91 / $28.18	Facility		$4.68	$8.91	$28.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.09 / $3.02	Professional		$1.91	$2.09	$3.02
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $12.30 / $26.92	Facility		$3.39	$12.30	$26.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $18.62 / $79.43	Facility		$4.07	$18.62	$79.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.47 / $12.59	Professional		$2.00	$3.47	$12.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $3.16 / $4.90	Facility		$2.45	$3.16	$4.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $4.17 / $16.22	Professional		$2.45	$4.17	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $3.16 / $3.80	Facility		$1.74	$3.16	$3.80
United Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $3.16 / $5.37	Professional		$1.91	$3.16	$5.37