Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $16.98 / $407.38	Facility		$6.03	$16.98	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.57 / $10.00	Professional		$3.98	$4.57	$10.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Professional		$2.88	$2.88	$2.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $39.81 / $5,011.87	Facility		$30.20	$39.81	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $5.62	Professional		$4.47	$4.47	$5.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $8.91 / $19.05	Facility		$3.80	$8.91	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $6.46 / $10.23	Professional		$3.47	$6.46	$10.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.39 / $8.32	Professional		$2.69	$3.39	$8.32
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.46 / $10.00	Professional		$5.75	$6.46	$10.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $169.82 / $389.05	Facility		$18.62	$169.82	$389.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $16.98 / $234.42	Facility		$6.03	$16.98	$234.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $20.42	Professional		$3.98	$5.01	$20.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $6.31 / $9.12	Facility		$5.75	$6.31	$9.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.31 / $9.33	Professional		$5.75	$6.31	$9.33
United Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $380.19 / $602.56	Facility		$3.16	$380.19	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.89 / $10.00	Professional		$2.57	$3.89	$10.00