Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $169.82 / $537.03	Facility		$47.86	$169.82	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $446.68	Professional		$123.03	$173.78	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $169.82	Professional		$104.71	$141.25	$169.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $213.80 / $5,011.87	Facility		$181.97	$213.80	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $223.87 / $562.34	Facility		$56.23	$223.87	$562.34
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $169.82 / $512.86	Facility		$47.86	$169.82	$512.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $416.87	Professional		$134.90	$169.82	$416.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $147.91	Facility		$15.49	$15.49	$147.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $147.91 / $758.58	Professional		$15.49	$147.91	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $263.03	Professional		$165.96	$208.93	$263.03