Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $6.31 / $9.77	Facility		$3.24	$6.31	$9.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $7.94	Professional		$3.02	$3.02	$7.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $3.24	Professional		$2.69	$2.69	$3.24
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $3.47 / $5,011.87	Facility		$2.95	$3.47	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $3.31	Professional		$3.31	$3.31	$3.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.24 / $4.79	Facility		$3.24	$3.24	$4.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $4.79	Professional		$3.24	$3.24	$4.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.45 / $2.69	Professional		$2.34	$2.45	$2.69
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Facility		$3.24	$3.24	$3.24
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.24 / $5.50	Professional		$2.57	$3.24	$5.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $6.31 / $9.77	Facility		$3.24	$6.31	$9.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.24 / $9.55	Professional		$3.02	$3.24	$9.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $8.13 / $14.79	Facility		$3.72	$8.13	$14.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $8.51 / $11.22	Professional		$3.72	$8.51	$11.22
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.95 / $1.26	Facility		$0.02	$0.95	$1.26
United Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $3.24 / $3.80	Professional		$1.29	$3.24	$3.80