Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $87.10 / $173.78	Facility		$29.51	$87.10	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $131.83	Professional		$21.88	$26.30	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $20.42	Professional		$17.78	$17.78	$20.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $204.17 / $5,011.87	Facility		$154.88	$204.17	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $27.54	Professional		$22.91	$22.91	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $45.71 / $100.00	Facility		$19.50	$45.71	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.11 / $70.79	Professional		$22.39	$33.11	$70.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $29.51 / $42.66	Professional		$13.80	$29.51	$42.66
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $51.29	Professional		$29.51	$33.11	$51.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $67.61 / $125.89	Facility		$37.15	$67.61	$125.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.95 / $28.18	Professional		$17.78	$19.95	$28.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $85.11 / $173.78	Facility		$27.54	$85.11	$173.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $29.51 / $109.65	Professional		$21.88	$29.51	$109.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $23.99 / $34.67	Facility		$7.08	$23.99	$34.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $19.05 / $32.36	Professional		$7.08	$19.05	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $29.51 / $35.48	Facility		$11.75	$29.51	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.05 / $50.12	Professional		$12.30	$19.05	$50.12