Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $75.86 / $123.03	Facility		$0.05	$75.86	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $83.18 / $199.53	Professional		$17.38	$83.18	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.14 / $15.14	Professional		$13.80	$15.14	$15.14
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $85.11 / $5,011.87	Facility		$63.10	$85.11	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $43.65 / $87.10	Facility		$19.50	$43.65	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $21.38 / $43.65	Professional		$7.59	$21.38	$43.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.13 / $43.65	Professional		$13.49	$14.13	$43.65
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $20.89 / $52.48	Professional		$12.59	$20.89	$52.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $70.79	Facility		$67.61	$67.61	$70.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $75.86 / $123.03	Facility		$0.10	$75.86	$123.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $44.67 / $123.03	Professional		$20.89	$44.67	$123.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $15.49 / $30.20	Facility		$6.46	$15.49	$30.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $17.38 / $162.18	Professional		$10.47	$17.38	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $30.20 / $36.31	Facility		$15.14	$30.20	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $16.98 / $36.31	Professional		$9.77	$16.98	$36.31