Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $165.96	Professional		$77.62	$102.33	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $147.91	Professional		$97.72	$97.72	$147.91
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 $16.60 / $147.91 / $165.96	Professional		$16.60	$147.91	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $144.54	Facility		$120.23	$120.23	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $194.98	Professional		$102.33	$102.33	$194.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $169.82	Professional		$102.33	$120.23	$169.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $165.96	Professional		$79.43	$104.71	$165.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $173.78	Facility		$165.96	$165.96	$173.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $177.83	Professional		$165.96	$165.96	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $77.62 / $123.03	Facility		$9.33	$77.62	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $199.53	Professional		$77.62	$104.71	$199.53