Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $123.03 / $251.19	Facility		$39.81	$123.03	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $53.70	Professional		$26.92	$33.88	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $26.30	Professional		$19.95	$19.95	$26.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $263.03 / $5,011.87	Facility		$199.53	$263.03	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $33.11	Professional		$29.51	$29.51	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $58.88 / $128.82	Facility		$25.12	$58.88	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $42.66 / $66.07	Professional		$23.44	$42.66	$66.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.39 / $54.95	Professional		$16.22	$22.39	$54.95
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $41.69 / $66.07	Professional		$38.02	$41.69	$66.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $93.33 / $229.09	Facility		$48.98	$93.33	$229.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $32.36	Professional		$22.39	$22.39	$32.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $114.82 / $275.42	Facility		$32.36	$114.82	$275.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $134.90	Professional		$25.12	$33.88	$134.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $37.15 / $120.23	Facility		$33.88	$37.15	$120.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $120.23	Professional		$33.88	$46.77	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $38.02 / $45.71	Facility		$25.12	$38.02	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $66.07	Professional		$16.98	$23.99	$66.07