Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $25.12 / $41.69	Facility		$23.99	$25.12	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.92 / $57.54	Professional		$23.99	$26.92	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $23.44 / $38.02	Professional		$12.02	$23.44	$38.02
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $29.51 / $5,011.87	Facility		$25.12	$29.51	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $27.54	Facility		$26.92	$26.92	$27.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $25.12 / $41.69	Facility		$23.99	$25.12	$41.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $47.86	Professional		$23.99	$25.12	$47.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $27.54 / $32.36	Facility		$12.88	$27.54	$32.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.90 / $37.15	Professional		$24.55	$30.90	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $27.54	Facility		$25.70	$25.70	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $29.51 / $36.31	Professional		$27.54	$29.51	$36.31