Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $51.29 / $204.17	Facility		$35.48	$51.29	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $134.90	Professional		$41.69	$52.48	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.90 / $45.71	Professional		$22.39	$38.90	$45.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $57.54 / $5,011.87	Facility		$48.98	$57.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $165.96	Facility		$44.67	$44.67	$165.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $51.29 / $204.17	Facility		$36.31	$51.29	$204.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $151.36	Professional		$42.66	$51.29	$151.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $3.55 / $41.69	Facility		$3.55	$3.55	$41.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $41.69	Professional		$3.55	$3.55	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $70.79	Professional		$46.77	$57.54	$70.79