Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $173.78 / $302.00	Facility		$67.61	$173.78	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $263.03	Professional		$46.77	$56.23	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $457.09 / $5,011.87	Facility		$338.84	$457.09	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $60.26	Professional		$50.12	$50.12	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $100.00 / $218.78	Facility		$42.66	$100.00	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $112.20	Professional		$39.81	$72.44	$112.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $64.57 / $93.33	Professional		$30.20	$64.57	$93.33
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $72.44 / $112.20	Professional		$63.10	$72.44	$112.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $199.53 / $338.84	Facility		$107.15	$199.53	$338.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $61.66	Professional		$38.90	$50.12	$61.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $173.78 / $309.03	Facility		$60.26	$173.78	$309.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $263.03	Professional		$46.77	$60.26	$263.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $75.86 / $141.25	Facility		$21.38	$75.86	$141.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $114.82 / $208.93	Professional		$21.38	$114.82	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $64.57 / $77.62	Facility		$43.65	$64.57	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $112.20	Professional		$28.84	$41.69	$112.20