Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $66.07 / $112.20	Facility		$53.70	$66.07	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $177.83	Professional		$58.88	$79.43	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $66.07	Professional		$44.67	$52.48	$66.07
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $79.43 / $5,011.87	Facility		$67.61	$79.43	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $66.07 / $112.20	Facility		$41.69	$66.07	$112.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $199.53	Professional		$63.10	$79.43	$199.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $60.26	Facility		$13.80	$13.80	$60.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $60.26	Professional		$13.80	$13.80	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $97.72	Professional		$64.57	$79.43	$97.72