Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $57.54 / $173.78	Facility		$21.88	$57.54	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $37.15	Professional		$15.14	$16.98	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $144.54 / $5,011.87	Facility		$107.15	$144.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $17.78	Professional		$15.85	$15.85	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $31.62 / $69.18	Facility		$13.80	$31.62	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $22.91 / $36.31	Professional		$12.59	$22.91	$36.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $29.51	Professional		$9.55	$12.02	$29.51
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $35.48	Professional		$19.95	$22.91	$35.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $102.33 / $223.87	Facility		$43.65	$102.33	$223.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $19.50	Professional		$12.30	$12.30	$19.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $54.95 / $173.78	Facility		$21.88	$54.95	$173.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $74.13	Professional		$15.14	$19.05	$74.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $28.84	Professional		$26.92	$26.92	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $20.42 / $24.55	Facility		$13.80	$20.42	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.79 / $35.48	Professional		$9.12	$14.79	$35.48