Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $69.18 / $138.04	Facility		$19.95	$69.18	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $63.10	Professional		$12.02	$15.14	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $117.49 / $5,011.87	Facility		$89.13	$117.49	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $16.60	Professional		$13.18	$13.18	$16.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $26.30 / $57.54	Facility		$11.22	$26.30	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $19.05 / $29.51	Professional		$10.23	$19.05	$29.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $24.55	Professional		$7.94	$10.00	$24.55
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $18.62 / $29.51	Professional		$16.98	$18.62	$29.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $42.66 / $100.00	Facility		$23.99	$42.66	$100.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $14.45	Professional		$10.00	$10.00	$14.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $66.07 / $138.04	Facility		$17.78	$66.07	$138.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $64.57	Professional		$12.02	$15.85	$64.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.85 / $20.89	Facility		$13.18	$15.85	$20.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.98 / $21.88	Professional		$13.18	$16.98	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.98 / $20.42	Facility		$11.22	$16.98	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.96 / $29.51	Professional		$7.08	$10.96	$29.51