Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $12.30 / $138.04	Facility		$7.94	$12.30	$138.04
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $7.94 / $34.67 / $190.55	Facility	CQ	$7.94	$34.67	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.47 / $50.12	Professional		$7.94	$10.47	$50.12
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $7.94 / $8.91 / $23.99	Professional	CQ	$7.94	$8.91	$23.99
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 $12.02 / $19.50 / $26.30	Professional		$12.02	$19.50	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $38.02	Professional		$20.89	$20.89	$38.02
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.60 / $26.92	Professional		$11.48	$16.60	$26.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $20.89 / $23.44	Facility		$15.14	$20.89	$23.44
Highmark BCBS Facility/Professional Facility Modifier CQ Low / Median / High Price $15.85 / $19.05 / $48.98	Facility	CQ	$15.85	$19.05	$48.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $12.30 / $44.67	Facility		$8.32	$12.30	$44.67
Martin's Point Facility/Professional Facility Modifier CQ Low / Median / High Price $15.85 / $26.30 / $190.55	Facility	CQ	$15.85	$26.30	$190.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $25.12	Professional		$7.94	$10.96	$25.12
Martin's Point Facility/Professional Professional Modifier CQ Low / Median / High Price $7.94 / $9.12 / $23.99	Professional	CQ	$7.94	$9.12	$23.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $13.18 / $18.20	Facility		$7.08	$13.18	$18.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.75 / $16.60	Professional		$7.08	$11.75	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $13.80 / $13.80	Facility		$12.59	$13.80	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $25.70	Professional		$10.00	$14.13	$25.70