Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $56.23 / $389.05	Facility		$13.80	$56.23	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $22.91	Professional		$8.91	$10.96	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $91.20 / $5,011.87	Facility		$67.61	$91.20	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $12.30	Professional		$10.00	$10.00	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $19.95 / $43.65	Facility		$8.71	$19.95	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $14.45 / $22.39	Professional		$7.94	$14.45	$22.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.59 / $18.62	Professional		$6.03	$7.59	$18.62
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.45 / $22.39	Professional		$12.88	$14.45	$22.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $41.69 / $75.86	Facility		$24.55	$41.69	$75.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $12.59	Professional		$7.76	$7.76	$12.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $53.70 / $389.05	Facility		$13.80	$53.70	$389.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.75 / $43.65	Professional		$8.91	$11.75	$43.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $19.50 / $19.50	Facility		$12.88	$19.50	$19.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.98 / $19.50	Professional		$10.47	$16.98	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $12.88 / $15.49	Facility		$8.71	$12.88	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.32 / $22.39	Professional		$5.37	$8.32	$22.39