Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $23.99 / $87.10	Facility		$14.13	$23.99	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.62 / $63.10	Professional		$14.13	$18.62	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.59 / $15.85	Professional		$10.96	$12.59	$15.85
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $16.22 / $5,011.87	Facility		$13.80	$16.22	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $107.15	Facility		$26.30	$26.30	$107.15
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $23.99 / $87.10	Facility		$14.13	$23.99	$87.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.38 / $63.10	Professional		$14.13	$17.38	$63.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.14 / $22.91	Facility		$12.02	$15.14	$22.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $128.82	Professional		$12.02	$15.14	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $20.42	Professional		$13.49	$16.22	$20.42