Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $28.18 / $83.18	Facility		$10.23	$28.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $16.98	Professional		$6.03	$7.08	$16.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $50.12 / $5,011.87	Facility		$38.02	$50.12	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Professional		$7.59	$7.59	$7.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $14.45 / $33.88	Facility		$6.46	$14.45	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $9.33 / $14.45	Professional		$4.47	$9.33	$14.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $8.13 / $14.13	Professional		$4.57	$8.13	$14.13
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.33 / $16.98	Professional		$7.41	$9.33	$16.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $42.66 / $199.53	Facility		$15.14	$42.66	$199.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Professional		$7.59	$7.59	$7.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $28.18 / $83.18	Facility		$10.23	$28.18	$83.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $28.84	Professional		$6.03	$8.91	$28.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $10.00	Facility		$8.91	$8.91	$10.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $10.23	Professional		$7.08	$8.91	$10.23
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $9.77 / $11.75	Facility		$4.90	$9.77	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $6.03 / $14.45	Professional		$4.07	$6.03	$14.45