Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $46.77 / $134.90	Facility		$15.14	$46.77	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $45.71	Professional		$12.88	$15.14	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $125.89 / $5,011.87	Facility		$95.50	$125.89	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $16.22	Professional		$13.80	$13.80	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $27.54 / $61.66	Facility		$12.02	$27.54	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $20.42 / $31.62	Professional		$10.96	$20.42	$31.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $17.78 / $25.70	Professional		$8.32	$17.78	$25.70
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.95 / $30.90	Professional		$17.38	$19.95	$30.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $41.69 / $128.82	Facility		$24.55	$41.69	$128.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $16.98	Professional		$10.72	$10.72	$16.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $46.77 / $134.90	Facility		$16.60	$46.77	$134.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $66.07	Professional		$12.88	$16.98	$66.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.50 / $21.38	Facility		$15.85	$19.50	$21.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $21.38	Professional		$15.85	$19.50	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $17.78 / $21.38	Facility		$12.02	$17.78	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.48 / $30.90	Professional		$7.59	$11.48	$30.90