Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $389.05 / $776.25	Facility		$100.00	$389.05	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $97.72 / $316.23	Professional		$93.33	$97.72	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $102.33 / $5,011.87	Facility		$87.10	$102.33	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $162.18	Professional		$141.25	$162.18	$162.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $213.80 / $295.12	Facility		$104.71	$213.80	$295.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $354.81 / $812.83	Facility		$95.50	$354.81	$812.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $295.12	Professional		$93.33	$102.33	$295.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $109.65 / $288.40	Facility		$42.66	$109.65	$288.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $309.03	Professional		$87.10	$109.65	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $128.82	Professional		$93.33	$93.33	$128.82