Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $12.59 / $16.60	Facility		$5.50	$12.59	$16.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $13.49	Professional		$5.01	$5.01	$13.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.57 / $8.91	Professional		$3.80	$4.57	$8.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.89 / $5,011.87	Facility		$5.01	$5.89	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Professional		$5.62	$5.62	$5.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Facility		$5.37	$5.37	$5.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Professional		$5.37	$5.37	$5.37
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Facility		$5.37	$5.37	$5.37
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.33 / $9.33	Professional		$8.13	$9.33	$9.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $12.59 / $16.60	Facility		$5.50	$12.59	$16.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.50 / $16.60	Professional		$5.01	$5.50	$16.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $5.25 / $19.50	Facility		$1.86	$5.25	$19.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $9.77 / $19.50	Professional		$1.86	$9.77	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $9.77	Professional		$5.37	$5.37	$9.77