Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $37.15 / $162.18	Facility		$12.30	$37.15	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $14.45	Professional		$6.03	$7.94	$14.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Professional		$4.68	$4.68	$4.68
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 $7.59 / $7.59 / $8.51	Professional		$7.59	$7.59	$8.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $15.14 / $32.36	Facility		$6.46	$15.14	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $10.72 / $16.98	Professional		$5.89	$10.72	$16.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $7.76 / $13.80	Professional		$4.57	$7.76	$13.80
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Facility		$9.55	$9.55	$9.55
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.55 / $16.60	Professional		$8.32	$9.55	$16.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $26.92 / $56.23	Facility		$19.50	$26.92	$56.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.24 / $17.38	Professional		$5.75	$7.24	$17.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $34.67 / $158.49	Facility		$11.22	$34.67	$158.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $28.18	Professional		$6.03	$8.91	$28.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $9.55 / $12.30	Facility		$8.13	$9.55	$12.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.72 / $12.30	Professional		$8.13	$10.72	$12.30
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $9.55 / $11.48	Facility		$6.46	$9.55	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.31 / $14.79	Professional		$4.37	$6.31	$14.79