Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $100.00 / $295.12	Facility		$42.66	$100.00	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $275.42	Professional		$83.18	$112.20	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $91.20 / $93.33	Professional		$52.48	$91.20	$93.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $117.49 / $5,011.87	Facility		$100.00	$117.49	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $67.61 / $338.84	Facility		$40.74	$67.61	$338.84
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $100.00 / $316.23	Facility		$42.66	$100.00	$316.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $302.00	Professional		$87.10	$109.65	$302.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $91.20	Facility		$15.85	$15.85	$91.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $91.20	Professional		$15.85	$15.85	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $147.91	Professional		$95.50	$117.49	$147.91