Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $53.70 / $87.10	Facility		$21.38	$53.70	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $33.11	Professional		$12.88	$15.85	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $128.82 / $5,011.87	Facility		$97.72	$128.82	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $18.20	Professional		$14.45	$14.45	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $28.84 / $63.10	Facility		$12.30	$28.84	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $20.89 / $32.36	Professional		$11.22	$20.89	$32.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $18.20 / $26.92	Professional		$8.71	$18.20	$26.92
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.42 / $31.62	Professional		$17.78	$20.42	$31.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $50.12 / $87.10	Facility		$19.50	$50.12	$87.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.98 / $53.70	Professional		$13.18	$16.98	$53.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $18.20 / $81.28	Facility		$14.45	$18.20	$81.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $79.43	Professional		$14.45	$18.20	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $18.20 / $21.88	Facility		$12.30	$18.20	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.49 / $34.67	Professional		$8.32	$13.49	$34.67