Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $102.33 / $446.68	Facility		$37.15	$102.33	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $77.62	Professional		$16.98	$20.89	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Professional		$9.55	$9.55	$9.55
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $134.90 / $5,011.87	Facility		$102.33	$134.90	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $39.81 / $89.13	Facility		$17.38	$39.81	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $25.12 / $38.90	Professional		$12.02	$25.12	$38.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.22 / $38.02	Professional		$12.30	$16.22	$38.02
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $45.71	Professional		$20.42	$25.70	$45.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $120.23 / $194.98	Facility		$43.65	$120.23	$194.98
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $1,995.26 / $3,388.44	Facility		$41.69	$1,995.26	$3,388.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $104.71 / $489.78	Facility		$36.31	$104.71	$489.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.91 / $87.10	Professional		$17.38	$22.91	$87.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $25.70	Facility		$18.62	$18.62	$25.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.70 / $70.79	Professional		$18.62	$25.70	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $26.30 / $31.62	Facility		$13.18	$26.30	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $38.90	Professional		$10.96	$15.49	$38.90