Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $44.67 / $67.61	Facility		$16.22	$44.67	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.30 / $54.95	Professional		$8.91	$12.30	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Professional		$7.59	$7.59	$7.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $77.62 / $5,011.87	Facility		$58.88	$77.62	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $23.44 / $52.48	Facility		$10.23	$23.44	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $15.14 / $22.91	Professional		$7.24	$15.14	$22.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $9.12 / $22.39	Professional		$3.80	$9.12	$22.39
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.14 / $26.30	Professional		$11.48	$15.14	$26.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $58.88 / $67.61	Facility		$31.62	$58.88	$67.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $41.69 / $67.61	Facility		$16.22	$41.69	$67.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $54.95	Professional		$10.00	$14.13	$54.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $10.96 / $30.20	Facility		$6.76	$10.96	$30.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.96 / $30.20	Professional		$6.76	$10.96	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $15.14 / $18.20	Facility		$8.32	$15.14	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.77 / $22.91	Professional		$6.46	$9.77	$22.91