Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $64.57 / $169.82	Facility		$16.22	$64.57	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $37.15	Professional		$14.13	$16.98	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $131.83 / $5,011.87	Facility		$100.00	$131.83	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $17.78	Professional		$14.79	$14.79	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $29.51 / $64.57	Facility		$12.59	$29.51	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $21.38 / $33.11	Professional		$11.75	$21.38	$33.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $19.05 / $27.54	Professional		$8.91	$19.05	$27.54
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.38 / $33.11	Professional		$18.62	$21.38	$33.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $46.77 / $93.33	Facility		$25.70	$46.77	$93.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.88 / $18.20	Professional		$11.48	$12.88	$18.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $57.54 / $169.82	Facility		$16.22	$57.54	$169.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.38 / $67.61	Professional		$14.13	$17.38	$67.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $20.42 / $20.42	Facility		$14.13	$20.42	$20.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $69.18	Professional		$14.13	$20.42	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $19.05 / $22.91	Facility		$12.59	$19.05	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.30 / $33.11	Professional		$8.51	$12.30	$33.11