Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $9.12 / $12.02	Facility		$3.98	$9.12	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $17.38	Professional		$3.02	$3.02	$17.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $4.27 / $5,011.87	Facility		$3.63	$4.27	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Facility		$3.98	$3.98	$3.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Professional		$3.98	$3.98	$3.98
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Facility		$3.98	$3.98	$3.98
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.76 / $6.76	Professional		$5.89	$6.76	$6.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $9.12 / $17.38	Facility		$3.98	$9.12	$17.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $17.38	Professional		$3.02	$3.98	$17.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $8.91	Facility		$5.13	$5.13	$8.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.46 / $12.59	Professional		$4.68	$6.46	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $7.24	Professional		$3.98	$3.98	$7.24