Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $77.62 / $257.04	Facility		$44.67	$77.62	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $151.36	Professional		$66.07	$97.72	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $97.72 / $162.18	Professional		$36.31	$97.72	$162.18
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 $33.88 / $64.57 / $194.98	Facility		$33.88	$64.57	$194.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $93.33 / $288.40	Facility		$44.67	$93.33	$288.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $162.18	Professional		$70.79	$97.72	$162.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $85.11 / $114.82	Facility		$69.18	$85.11	$114.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $309.03	Professional		$81.28	$114.82	$309.03
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