Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $125.89 / $257.04	Facility		$37.15	$125.89	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $134.90	Professional		$75.86	$97.72	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $83.18 / $97.72	Professional		$31.62	$83.18	$97.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $102.33 / $5,011.87	Facility		$87.10	$102.33	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $169.82 / $169.82	Professional		$147.91	$169.82	$169.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $100.00 / $131.83	Facility		$38.90	$100.00	$131.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $125.89 / $257.04	Facility		$38.02	$125.89	$257.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $144.54	Professional		$83.18	$97.72	$144.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $114.82	Facility		$60.26	$60.26	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $93.33	Facility		$87.10	$87.10	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $128.82	Professional		$87.10	$102.33	$128.82