Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $52.48 / $1,862.09	Facility		$32.36	$52.48	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $57.54	Professional		$28.18	$41.69	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $51.29	Professional		$32.36	$39.81	$51.29
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $83.18	Professional		$44.67	$52.48	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $50.12 / $79.43	Professional		$31.62	$50.12	$79.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $89.13	Professional		$38.90	$51.29	$89.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $52.48 / $1,862.09	Facility		$32.36	$52.48	$1,862.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $79.43	Professional		$28.84	$45.71	$79.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $33.88 / $53.70	Facility		$1.78	$33.88	$53.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $33.88 / $72.44	Professional		$1.78	$33.88	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $77.62	Professional		$30.20	$50.12	$77.62