Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $64.57 / $257.04	Facility		$13.18	$64.57	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $32.36	Professional		$8.91	$10.96	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $87.10 / $5,011.87	Facility		$66.07	$87.10	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $12.30	Professional		$9.55	$9.55	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $19.05 / $42.66	Facility		$8.32	$19.05	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $14.13 / $21.38	Professional		$7.59	$14.13	$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 $17.78 / $31.62 / $91.20	Facility		$17.78	$31.62	$91.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.33 / $12.02	Professional		$7.41	$9.33	$12.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $61.66 / $257.04	Facility		$13.18	$61.66	$257.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.22 / $41.69	Professional		$8.91	$11.22	$41.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $17.78 / $17.78	Facility		$16.22	$17.78	$17.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $17.78	Professional		$12.30	$17.78	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $12.30 / $14.79	Facility		$8.32	$12.30	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $8.13 / $21.38	Professional		$5.25	$8.13	$21.38