Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $25.12 / $39.81	Facility		$13.18	$25.12	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $18.20	Professional		$12.88	$12.88	$18.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $15.14	Professional		$12.88	$12.88	$15.14
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.13 / $5,011.87	Facility		$12.02	$14.13	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.39 / $22.39	Professional		$19.50	$22.39	$22.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $24.55 / $39.81	Facility		$13.18	$24.55	$39.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $36.31	Professional		$12.88	$12.88	$36.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $17.78 / $77.62	Facility		$12.30	$17.78	$77.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $77.62	Professional		$12.30	$17.78	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $23.99	Professional		$12.88	$12.88	$23.99