Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $22.39 / $83.18	Facility		$6.92	$22.39	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.68 / $20.89	Professional		$3.98	$4.68	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.09 / $5.50	Professional		$2.19	$3.09	$5.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $36.31 / $5,011.87	Facility		$27.54	$36.31	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.90	Professional		$4.07	$4.07	$4.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $7.94 / $17.78	Facility		$3.63	$7.94	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $5.75 / $8.91	Professional		$3.16	$5.75	$8.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $4.17 / $7.59	Professional		$2.45	$4.17	$7.59
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Facility		$5.13	$5.13	$5.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.75 / $8.91	Professional		$5.13	$5.75	$8.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $14.45 / $38.02	Facility		$7.76	$14.45	$38.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $4.07	Professional		$3.09	$3.09	$4.07
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,000.00	Facility		$776.25	$776.25	$1,000.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $22.91 / $87.10	Facility		$6.17	$22.91	$87.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.13 / $21.38	Professional		$3.80	$5.13	$21.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $6.61 / $8.91	Facility		$5.13	$6.61	$8.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $6.46 / $8.91	Professional		$3.47	$6.46	$8.91
United Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $5.13 / $6.17	Facility		$2.82	$5.13	$6.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.39 / $8.91	Professional		$2.34	$3.39	$8.91