Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $112.20 / $5,623.41	Facility		$45.71	$112.20	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $77.62 / $5,623.41	Professional		$44.67	$77.62	$5,623.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $45.71	Professional		$44.67	$44.67	$45.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $48.98 / $5,011.87	Facility		$41.69	$48.98	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $48.98	Professional		$46.77	$46.77	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $79.43	Professional		$67.61	$79.43	$79.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $104.71 / $138.04	Facility		$79.43	$104.71	$138.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $107.15 / $5,248.07	Facility		$45.71	$107.15	$5,248.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $4,786.30	Professional		$44.67	$52.48	$4,786.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $44.67 / $107.15	Facility		$29.51	$44.67	$107.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $107.15	Professional		$29.51	$44.67	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $63.10	Professional		$45.71	$45.71	$63.10