Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $15.85 / $27.54	Facility		$5.50	$15.85	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $10.00	Professional		$3.98	$5.01	$10.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $5.89	Professional		$5.89	$5.89	$5.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $40.74 / $5,011.87	Facility		$30.90	$40.74	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $5.13	Professional		$4.57	$4.57	$5.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $8.91 / $19.95	Facility		$3.89	$8.91	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $6.46 / $10.23	Professional		$3.63	$6.46	$10.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.47 / $8.51	Professional		$2.75	$3.47	$8.51
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $5.89 / $5.89	Facility		$5.89	$5.89	$5.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.61 / $10.23	Professional		$5.75	$6.61	$10.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $4.37	Professional		$3.89	$3.89	$4.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $15.49 / $26.30	Facility		$5.50	$15.49	$26.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $20.89	Professional		$3.98	$5.01	$20.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $7.24 / $114.82	Facility		$1.12	$7.24	$114.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $7.24 / $114.82	Professional		$1.12	$7.24	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $5.89 / $7.08	Facility		$3.89	$5.89	$7.08
United Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.80 / $10.23	Professional		$2.63	$3.80	$10.23