Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $56.23 / $141.25	Facility		$20.89	$56.23	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $69.18	Professional		$10.00	$12.88	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.00 / $11.22	Professional		$9.55	$10.00	$11.22
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 $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $24.55 / $54.95	Facility		$10.72	$24.55	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $15.49 / $23.99	Professional		$7.41	$15.49	$23.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.55 / $23.44	Professional		$7.59	$9.55	$23.44
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.22 / $28.18	Professional		$11.48	$16.22	$28.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $44.67 / $89.13	Facility		$30.20	$44.67	$89.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $11.48	Professional		$9.55	$9.55	$11.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $56.23 / $144.54	Facility		$19.50	$56.23	$144.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $66.07	Professional		$10.00	$15.14	$66.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.49 / $66.07	Facility		$13.18	$13.49	$66.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $13.49 / $19.05	Professional		$6.61	$13.49	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $16.22 / $19.50	Facility		$8.32	$16.22	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.77 / $23.99	Professional		$6.76	$9.77	$23.99