Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $60.26 / $158.49	Facility		$19.05	$60.26	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.78 / $39.81	Professional		$15.14	$17.78	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.13 / $20.42	Professional		$10.72	$14.13	$20.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $141.25 / $5,011.87	Facility		$107.15	$141.25	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $19.05	Professional		$15.85	$15.85	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $31.62 / $69.18	Facility		$13.49	$31.62	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $22.91 / $35.48	Professional		$12.59	$22.91	$35.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $19.50 / $29.51	Professional		$9.55	$19.50	$29.51
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.91 / $35.48	Professional		$20.42	$22.91	$35.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $57.54 / $109.65	Facility		$28.18	$57.54	$109.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.49 / $17.38	Professional		$12.30	$13.49	$17.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $58.88 / $158.49	Facility		$17.38	$58.88	$158.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $75.86	Professional		$15.14	$19.05	$75.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $12.59 / $20.42	Facility		$1.51	$12.59	$20.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $18.62 / $50.12	Professional		$1.51	$18.62	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $20.42 / $24.55	Facility		$13.49	$20.42	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.18 / $35.48	Professional		$9.12	$13.18	$35.48