Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $10.47 / $630.96	Facility		$1.74	$10.47	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $575.44	Professional		$1.00	$1.00	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Professional		$1.70	$1.70	$1.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.86 / $5,011.87	Facility		$1.58	$1.86	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $1.78	Professional		$1.78	$1.78	$1.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Facility		$1.70	$1.70	$1.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Professional		$1.70	$1.70	$1.70
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Facility		$1.70	$1.70	$1.70
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.95 / $2.95	Professional		$2.57	$2.95	$2.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $7.94	Facility		$3.63	$3.63	$7.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $5.25 / $676.08	Facility		$1.74	$5.25	$676.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.74 / $5.25	Professional		$1.00	$1.74	$5.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.91 / $2.00	Facility		$1.12	$1.91	$2.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.91 / $2.00	Professional		$1.12	$1.91	$2.00
United Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Facility		$1.70	$1.70	$1.70
United Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $3.16	Professional		$1.70	$1.70	$3.16