Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.38 / $44.67	Professional		$12.88	$17.38	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.70 / $41.69	Professional		$23.99	$25.70	$41.69
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.70 / $57.54	Professional		$25.12	$25.70	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $33.88 / $45.71	Professional		$18.62	$33.88	$45.71
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.78 / $30.20	Professional		$15.14	$17.78	$30.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.39 / $22.91	Professional		$20.89	$22.39	$22.91
Highmark BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $11.22 / $11.48 / $11.48	Professional	52	$11.22	$11.48	$11.48
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.60 / $30.90	Professional		$15.14	$16.60	$30.90
Optum Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $39.81	Professional		$25.70	$30.90	$39.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.70 / $67.61	Professional		$16.98	$25.70	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $33.11	Professional		$19.95	$25.12	$33.11