Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $41.69 / $120.23	Facility		$15.14	$41.69	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $23.44	Professional		$8.91	$10.72	$23.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Professional		$7.24	$7.24	$7.24
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $85.11 / $5,011.87	Facility		$63.10	$85.11	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $11.22	Professional		$9.33	$9.33	$11.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $18.62 / $41.69	Facility		$7.94	$18.62	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $13.49 / $21.38	Professional		$7.24	$13.49	$21.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $12.02 / $17.38	Professional		$5.62	$12.02	$17.38
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $20.89	Professional		$12.02	$13.49	$20.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $31.62 / $66.07	Facility		$16.98	$31.62	$66.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $9.33	Professional		$7.24	$7.24	$9.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $36.31 / $120.23	Facility		$13.49	$36.31	$120.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.96 / $44.67	Professional		$8.71	$10.96	$44.67
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $12.02 / $15.14	Facility		$10.23	$12.02	$15.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.13 / $45.71	Professional		$10.23	$14.13	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $12.02 / $14.45	Facility		$8.13	$12.02	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.76 / $20.89	Professional		$5.25	$7.76	$20.89