Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $15.85 / $47.86	Facility		$5.89	$15.85	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $25.70	Professional		$3.02	$3.02	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.51 / $2.51	Professional		$2.51	$2.51	$2.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $25.70 / $5,011.87	Facility		$19.50	$25.70	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $3.24	Professional		$3.09	$3.09	$3.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $6.03 / $13.49	Facility		$2.69	$6.03	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $4.57 / $6.31	Professional		$2.34	$4.57	$6.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $3.98 / $5.75	Professional		$1.86	$3.98	$5.75
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Facility		$3.98	$3.98	$3.98
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.07 / $6.92	Professional		$3.55	$4.07	$6.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $12.88 / $33.11	Facility		$7.08	$12.88	$33.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.89	Professional		$3.24	$3.24	$3.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $15.85 / $48.98	Facility		$5.13	$15.85	$48.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.98 / $16.60	Professional		$2.88	$3.98	$16.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $4.79	Facility		$4.17	$4.17	$4.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.17 / $4.79	Professional		$3.98	$4.17	$4.79
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $3.98 / $4.79	Facility		$2.45	$3.98	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.45 / $6.46	Professional		$1.82	$2.45	$6.46