Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $104.71 / $239.88	Facility		$30.90	$104.71	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $72.44	Professional		$21.88	$26.30	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $204.17 / $5,011.87	Facility		$154.88	$204.17	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $27.54	Professional		$22.91	$22.91	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $45.71 / $100.00	Facility		$19.50	$45.71	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $33.11 / $51.29	Professional		$17.78	$33.11	$51.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $29.51 / $42.66	Professional		$13.80	$29.51	$42.66
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $51.29	Professional		$28.84	$32.36	$51.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $77.62 / $162.18	Facility		$43.65	$77.62	$162.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.95 / $28.18	Professional		$17.38	$19.95	$28.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $95.50 / $234.42	Facility		$25.12	$95.50	$234.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $107.15	Professional		$21.38	$26.92	$107.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $27.54 / $29.51	Facility		$22.39	$27.54	$29.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.54 / $173.78	Professional		$22.39	$27.54	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $29.51 / $35.48	Facility		$19.50	$29.51	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.38 / $51.29	Professional		$13.18	$21.38	$51.29