Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $50.12 / $269.15	Facility		$14.45	$50.12	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $30.90	Professional		$8.91	$10.72	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $87.10 / $5,011.87	Facility		$64.57	$87.10	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $11.48	Professional		$9.55	$9.55	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $19.05 / $41.69	Facility		$8.13	$19.05	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $13.80 / $21.38	Professional		$7.41	$13.80	$21.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.24 / $17.78	Professional		$5.75	$7.24	$17.78
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.80 / $21.38	Professional		$12.30	$13.80	$21.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $28.84 / $83.18	Facility		$16.60	$28.84	$83.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.12 / $12.02	Professional		$7.41	$9.12	$12.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $50.12 / $218.78	Facility		$14.45	$50.12	$218.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $36.31	Professional		$8.91	$10.96	$36.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $15.14 / $19.50	Facility		$8.32	$15.14	$19.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $15.14 / $45.71	Professional		$8.32	$15.14	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $12.30 / $14.79	Facility		$8.13	$12.30	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.94 / $21.38	Professional		$5.25	$7.94	$21.38