Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $43.65 / $117.49	Facility		$14.45	$43.65	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $104.71	Professional		$57.54	$66.07	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $52.48	Professional		$48.98	$48.98	$52.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $77.62 / $5,011.87	Facility		$66.07	$77.62	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $70.79	Facility		$69.18	$69.18	$70.79
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $43.65 / $112.20	Facility		$14.45	$43.65	$112.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $66.07 / $128.82	Professional		$64.57	$66.07	$128.82
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 $66.07 / $66.07 / $69.18	Facility		$66.07	$66.07	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $95.50	Professional		$74.13	$77.62	$95.50