Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $13.80 / $23.44	Facility		$4.27	$13.80	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.98 / $10.23	Professional		$2.00	$3.98	$10.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Professional		$2.63	$2.63	$2.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $22.91 / $5,011.87	Facility		$17.38	$22.91	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $7.76 / $16.60	Facility		$3.47	$7.76	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $5.01 / $7.76	Professional		$2.04	$5.01	$7.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.16 / $7.76	Professional		$2.51	$3.16	$7.76
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Facility		$5.37	$5.37	$5.37
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.47 / $9.33	Professional		$3.39	$4.47	$9.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $28.18 / $30.20	Facility		$20.42	$28.18	$30.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $13.49 / $23.44	Facility		$4.27	$13.49	$23.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.27 / $15.85	Professional		$3.02	$4.27	$15.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $5.89 / $11.48	Facility		$0.81	$5.89	$11.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $5.89 / $11.48	Professional		$0.81	$5.89	$11.48
United Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $5.37 / $6.31	Facility		$2.63	$5.37	$6.31
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $4.47 / $7.41	Professional		$2.69	$4.47	$7.41