Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $38.90 / $66.07	Facility		$15.14	$38.90	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $25.12	Professional		$7.94	$10.96	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $72.44 / $5,011.87	Facility		$54.95	$72.44	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $21.38 / $47.86	Facility		$9.55	$21.38	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $13.49 / $21.38	Professional		$6.46	$13.49	$21.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $11.75 / $20.42	Professional		$6.61	$11.75	$20.42
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $24.55	Professional		$10.96	$14.13	$24.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $66.07 / $114.82	Facility		$21.38	$66.07	$114.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $10.72	Professional		$8.51	$8.51	$10.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $36.31 / $66.07	Facility		$15.14	$36.31	$66.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $38.90	Professional		$8.91	$12.02	$38.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $13.18 / $14.13	Facility		$12.88	$13.18	$14.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.18 / $22.91	Professional		$10.47	$13.18	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $14.13 / $16.98	Facility		$7.08	$14.13	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $8.51 / $21.38	Professional		$5.89	$8.51	$21.38