Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $87.10 / $181.97	Facility		$28.84	$87.10	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $61.66	Professional		$15.85	$19.05	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $36.31	Professional		$15.14	$15.14	$36.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $154.88 / $5,011.87	Facility		$117.49	$154.88	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $20.89	Professional		$16.98	$16.98	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $33.88 / $74.13	Facility		$14.79	$33.88	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $25.12 / $38.90	Professional		$13.49	$25.12	$38.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $31.62	Professional		$10.23	$12.88	$31.62
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $24.55 / $38.02	Professional		$21.38	$24.55	$38.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $57.54 / $117.49	Facility		$32.36	$57.54	$117.49
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.85 / $20.89	Professional		$13.18	$15.85	$20.89
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $100.00 / $602.56	Facility		$66.07	$100.00	$602.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $83.18 / $186.21	Facility		$24.55	$83.18	$186.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $79.43	Professional		$15.85	$19.95	$79.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $23.44 / $32.36	Facility		$14.45	$23.44	$32.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $23.44 / $31.62	Professional		$12.30	$23.44	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.88 / $26.30	Facility		$14.79	$21.88	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.22 / $38.02	Professional		$10.00	$16.22	$38.02