Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $13.80 / $31.62	Facility		$4.07	$13.80	$31.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $14.13	Professional		$3.02	$3.98	$14.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $3.31	Professional		$3.31	$3.31	$3.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.11 / $5,011.87	Facility		$25.12	$33.11	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $4.47	Professional		$3.72	$3.72	$4.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $7.59 / $16.60	Facility		$3.16	$7.59	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $5.37 / $8.51	Professional		$2.95	$5.37	$8.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $2.82 / $6.92	Professional		$1.02	$2.82	$6.92
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.25 / $8.32	Professional		$4.79	$5.25	$8.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $10.96 / $24.55	Facility		$5.75	$10.96	$24.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.55 / $3.72	Professional		$2.82	$3.55	$3.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $13.80 / $31.62	Facility		$4.07	$13.80	$31.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $17.38	Professional		$3.02	$3.98	$17.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $5.01 / $7.76	Facility		$4.17	$5.01	$7.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.01 / $7.76	Professional		$3.72	$5.01	$7.76
United Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $4.79 / $5.75	Facility		$3.16	$4.79	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.47 / $8.32	Professional		$2.14	$3.47	$8.32