Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $51.29 / $323.59	Facility		$16.22	$51.29	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $38.90	Professional		$10.00	$12.30	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Professional		$9.55	$9.55	$9.55
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $95.50 / $5,011.87	Facility		$72.44	$95.50	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $12.88	Professional		$10.72	$10.72	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $20.89 / $46.77	Facility		$9.12	$20.89	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $15.14 / $23.99	Professional		$8.51	$15.14	$23.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.47 / $19.95	Professional		$6.46	$10.47	$19.95
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.14 / $23.99	Professional		$13.49	$15.14	$23.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $38.02 / $125.89	Facility		$19.95	$38.02	$125.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.33 / $11.75	Professional		$8.32	$9.33	$11.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $46.77 / $331.13	Facility		$14.45	$46.77	$331.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $50.12	Professional		$10.00	$12.30	$50.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $20.89 / $21.88	Facility		$13.80	$20.89	$21.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.89 / $22.39	Professional		$13.80	$20.89	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $13.80 / $16.60	Facility		$9.12	$13.80	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.91 / $23.99	Professional		$5.75	$8.91	$23.99