Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $74.13 / $114.82	Facility		$20.42	$74.13	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $51.29	Professional		$15.14	$19.05	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.02 / $12.59	Professional		$10.72	$12.02	$12.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $123.03 / $5,011.87	Facility		$93.33	$123.03	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $36.31 / $81.28	Facility		$16.22	$36.31	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $22.91 / $36.31	Professional		$10.96	$22.91	$36.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.95 / $34.67	Professional		$11.22	$19.95	$34.67
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.99 / $41.69	Professional		$18.62	$23.99	$41.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $46.77 / $151.36	Facility		$37.15	$46.77	$151.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $74.13 / $114.82	Facility		$22.39	$74.13	$114.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $70.79	Professional		$15.14	$19.95	$70.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $24.55 / $24.55	Facility		$19.05	$24.55	$24.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $50.12	Professional		$19.05	$24.55	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $23.99 / $28.84	Facility		$12.02	$23.99	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.79 / $33.88	Professional		$10.00	$14.79	$33.88