Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $19.95 / $51.29	Facility		$6.31	$19.95	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $38.90	Professional		$5.01	$6.03	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $3.72	Professional		$1.86	$1.86	$3.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $48.98 / $5,011.87	Facility		$36.31	$48.98	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $6.17	Professional		$5.89	$5.89	$6.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $11.48 / $25.70	Facility		$5.01	$11.48	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $8.51 / $12.30	Professional		$4.17	$8.51	$12.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $6.61 / $10.72	Professional		$3.55	$6.61	$10.72
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Facility		$7.41	$7.41	$7.41
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.76 / $12.88	Professional		$7.24	$7.76	$12.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $19.05 / $43.65	Facility		$10.96	$19.05	$43.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.01 / $6.46	Professional		$4.47	$5.01	$6.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $19.05 / $48.98	Facility		$6.31	$19.05	$48.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.41 / $30.90	Professional		$5.01	$7.41	$30.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $7.41	Facility		$5.01	$5.01	$7.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.50 / $14.13	Professional		$5.01	$5.50	$14.13
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $7.41 / $8.91	Facility		$4.57	$7.41	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.13 / $12.02	Professional		$3.39	$5.13	$12.02