Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $74.13 / $190.55	Facility		$24.55	$74.13	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.39 / $35.48	Professional		$19.05	$22.39	$35.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $17.78	Professional		$15.49	$15.49	$17.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $177.83 / $5,011.87	Facility		$134.90	$177.83	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $23.99	Professional		$19.95	$19.95	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $39.81 / $87.10	Facility		$17.78	$39.81	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $28.84 / $44.67	Professional		$15.49	$28.84	$44.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $37.15	Professional		$12.02	$15.14	$37.15
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $44.67	Professional		$25.12	$28.18	$44.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $63.10 / $190.55	Facility		$39.81	$63.10	$190.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $24.55	Professional		$15.49	$19.05	$24.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $74.13 / $190.55	Facility		$21.88	$74.13	$190.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.44 / $91.20	Professional		$19.05	$23.44	$91.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $36.31	Professional		$34.67	$34.67	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $25.70 / $30.90	Facility		$16.98	$25.70	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.60 / $44.67	Professional		$11.48	$16.60	$44.67