Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $16.22 / $27.54	Facility		$15.85	$16.22	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $19.95	Professional		$15.85	$15.85	$19.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.75	Professional		$11.22	$11.22	$11.75
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $13.49 / $5,011.87	Facility		$11.48	$13.49	$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
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $16.22 / $27.54	Facility		$15.85	$16.22	$27.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $27.54	Professional		$15.85	$15.85	$27.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $19.95 / $19.95	Facility		$17.38	$19.95	$19.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.95 / $53.70	Professional		$17.38	$19.95	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $12.02	Facility		$11.48	$11.48	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $16.60	Professional		$13.49	$13.49	$16.60