Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $114.82 / $346.74	Facility		$44.67	$114.82	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $52.48	Professional		$28.18	$33.88	$52.48
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 / $35.48	Professional		$29.51	$29.51	$35.48
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 $46.77 / $91.20 / $229.09	Facility		$46.77	$91.20	$229.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $29.51	Professional		$22.39	$22.39	$29.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $114.82 / $363.08	Facility		$39.81	$114.82	$363.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $134.90	Professional		$25.70	$33.88	$134.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $38.02 / $120.23	Facility		$33.88	$38.02	$120.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $120.23	Professional		$33.88	$38.02	$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