Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $34.67 / $131.83	Facility		$10.96	$34.67	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.59 / $38.02	Professional		$6.03	$7.59	$38.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.01 / $8.32	Professional		$4.17	$5.01	$8.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $58.88 / $5,011.87	Facility		$44.67	$58.88	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $7.94	Professional		$6.61	$6.61	$7.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $12.88 / $28.84	Facility		$5.75	$12.88	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $9.55 / $14.79	Professional		$5.13	$9.55	$14.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $8.32 / $12.30	Professional		$3.98	$8.32	$12.30
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Facility		$8.32	$8.32	$8.32
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.33 / $14.45	Professional		$8.32	$9.33	$14.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $20.89 / $53.70	Facility		$11.48	$20.89	$53.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $7.08	Professional		$5.01	$5.01	$7.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $34.67 / $131.83	Facility		$10.72	$34.67	$131.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.13 / $34.67	Professional		$6.03	$8.13	$34.67
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $8.32 / $40.74	Facility		$6.61	$8.32	$40.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.32 / $40.74	Professional		$6.61	$8.32	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $8.32 / $10.00	Facility		$5.62	$8.32	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $6.03 / $14.79	Professional		$3.80	$6.03	$14.79