Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $37.15 / $63.10	Facility		$16.22	$37.15	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.96 / $21.88	Professional		$7.24	$10.96	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $60.26 / $5,011.87	Facility		$44.67	$60.26	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $20.89 / $44.67	Facility		$9.33	$20.89	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $13.80 / $21.88	Professional		$5.25	$13.80	$21.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.51 / $20.89	Professional		$6.76	$8.51	$20.89
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.30 / $25.12	Professional		$8.91	$12.30	$25.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $23.99 / $93.33	Facility		$21.38	$23.99	$93.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.71 / $9.33	Professional		$7.94	$8.71	$9.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $36.31 / $63.10	Facility		$13.49	$36.31	$63.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.02 / $42.66	Professional		$7.76	$12.02	$42.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.23 / $14.45	Facility		$8.91	$10.23	$14.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $14.79	Professional		$10.00	$12.02	$14.79
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $14.45 / $17.38	Facility		$7.24	$14.45	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.71 / $20.42	Professional		$5.62	$8.71	$20.42