Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $18.62 / $51.29	Facility		$4.68	$18.62	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $26.92	Professional		$3.02	$3.98	$26.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $3.16	Professional		$2.24	$2.24	$3.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $31.62 / $5,011.87	Facility		$23.44	$31.62	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $4.27	Professional		$3.47	$3.47	$4.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $7.08 / $15.49	Facility		$3.02	$7.08	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $5.01 / $7.94	Professional		$2.63	$5.01	$7.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $3.24 / $6.46	Professional		$2.09	$3.24	$6.46
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Facility		$4.47	$4.47	$4.47
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.01 / $7.76	Professional		$4.37	$5.01	$7.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $9.55 / $26.30	Facility		$5.25	$9.55	$26.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $4.47	Professional		$2.69	$2.69	$4.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $18.20 / $50.12	Facility		$4.47	$18.20	$50.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.47 / $18.62	Professional		$3.02	$4.47	$18.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $4.47 / $7.08	Facility		$3.39	$4.47	$7.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.47 / $7.08	Professional		$3.31	$4.47	$7.08
United Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $4.47 / $5.37	Facility		$3.02	$4.47	$5.37
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.16 / $7.76	Professional		$2.04	$3.16	$7.76