Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $40.74 / $69.18	Facility		$14.79	$40.74	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $30.90	Professional		$10.00	$12.88	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Professional		$7.94	$7.94	$7.94
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 $12.30 / $12.30 / $12.88	Professional		$12.30	$12.30	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $24.55 / $54.95	Facility		$10.72	$24.55	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $16.60 / $23.99	Professional		$7.94	$16.60	$23.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.33 / $22.91	Professional		$7.41	$9.33	$22.91
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.85 / $27.54	Professional		$13.49	$15.85	$27.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.92 / $28.18	Facility		$26.30	$26.92	$28.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $39.81 / $69.18	Facility		$14.79	$39.81	$69.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $46.77	Professional		$10.96	$14.13	$46.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $19.50 / $19.50	Facility		$14.13	$19.50	$19.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $19.50	Professional		$14.13	$18.20	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $15.85 / $19.05	Facility		$8.71	$15.85	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.55 / $23.99	Professional		$6.61	$9.55	$23.99