Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $13.80 / $22.39	Facility		$3.63	$13.80	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.47 / $13.80	Professional		$3.02	$4.47	$13.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.14 / $2.95	Professional		$1.82	$2.14	$2.95
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 $3.31 / $3.31 / $3.31	Professional		$3.31	$3.31	$3.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $6.46 / $14.45	Facility		$2.82	$6.46	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $4.07 / $6.17	Professional		$2.04	$4.07	$6.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.51 / $6.17	Professional		$2.00	$2.51	$6.17
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Facility		$4.27	$4.27	$4.27
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.27 / $7.41	Professional		$3.39	$4.27	$7.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $12.02 / $26.30	Facility		$6.61	$12.02	$26.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $4.07	Professional		$3.72	$3.72	$4.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $13.49 / $23.99	Facility		$3.63	$13.49	$23.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.57 / $13.80	Professional		$3.02	$4.57	$13.80
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 / $4.68 / $11.48	Professional		$0.81	$4.68	$11.48
United Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $4.27 / $5.13	Facility		$2.24	$4.27	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $4.27 / $5.89	Professional		$2.51	$4.27	$5.89