Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $25.12 / $154.88	Facility		$2.82	$25.12	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $3.31	Professional		$1.00	$1.00	$3.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.10 / $1.10	Professional		$1.05	$1.10	$1.10
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.17 / $5,011.87	Facility		$1.00	$1.17	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $1.12	Professional		$1.12	$1.12	$1.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Facility		$1.10	$1.10	$1.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Facility		$1.10	$1.10	$1.10
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.91 / $1.91	Professional		$1.62	$1.91	$1.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $10.72 / $30.90	Facility		$1.95	$10.72	$30.90
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $1.15 / $1.62	Facility		$1.15	$1.15	$1.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $26.92 / $128.82	Facility		$2.69	$26.92	$128.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.10 / $3.31	Professional		$1.00	$1.10	$3.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.29 / $1.78	Facility		$1.23	$1.29	$1.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.32 / $1.78	Professional		$1.12	$1.32	$1.78
United Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $2.00	Professional		$1.10	$1.10	$2.00