Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $27.54 / $117.49	Facility		$8.71	$27.54	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $18.20	Professional		$7.08	$8.91	$18.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $70.79 / $5,011.87	Facility		$53.70	$70.79	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $10.00	Professional		$7.94	$7.94	$10.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $15.49 / $34.67	Facility		$6.76	$15.49	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $11.48 / $17.78	Professional		$6.31	$11.48	$17.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $8.13 / $14.79	Professional		$4.79	$8.13	$14.79
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $11.48 / $17.78	Professional		$10.23	$11.48	$17.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $28.18 / $35.48	Facility		$25.12	$28.18	$35.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $8.71	Professional		$6.17	$6.17	$8.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $27.54 / $117.49	Facility		$8.71	$27.54	$117.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $35.48	Professional		$7.08	$8.91	$35.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $15.85 / $16.60	Facility		$9.12	$15.85	$16.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.85 / $16.60	Professional		$9.12	$15.85	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $10.23 / $12.30	Facility		$6.76	$10.23	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $6.61 / $17.78	Professional		$4.57	$6.61	$17.78