Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.03 / $87.14 / $783.70	Facility		$25.03	$87.14	$783.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $8.75 / $17.28	Professional		$7.39	$8.75	$17.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $6.34 / $10.56	Professional		$6.34	$6.34	$10.56
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $41.91 / $1,487.68	Facility		$14.55	$41.91	$1,487.68
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $6.86 / $6.86	Professional		$6.86	$6.86	$6.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $53.33 / $69.25 / $8,639.91	Facility		$53.33	$69.25	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.24 / $34.14	Professional		$8.24	$8.24	$34.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.94 / $14.05 / $34.77	Facility		$6.94	$14.05	$34.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $12.39 / $18.62	Professional		$6.68	$12.39	$18.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $8.44 / $14.30	Professional		$4.75	$8.44	$14.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $30.40 / $129.40	Facility		$16.98	$30.40	$129.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $10.00 / $17.36	Professional		$6.98	$10.00	$17.36
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $39.56 / $90.28	Facility		$13.20	$39.56	$90.28
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $6.86 / $6.86	Professional		$6.86	$6.86	$6.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $68.62 / $731.20	Facility		$20.27	$68.62	$731.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $8.75 / $26.67	Professional		$7.60	$8.75	$26.67
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $7.07 / $16.05 / $34.77	Facility		$7.07	$16.05	$34.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $11.86 / $18.62	Professional		$6.68	$11.86	$18.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $15.05 / $15.05	Professional		$15.05	$15.05	$15.05
United Facility/Professional Facility Modifier Low / Median / High Price $6.20 / $6.20 / $6.20	Facility		$6.20	$6.20	$6.20
United Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $6.76 / $18.53	Professional		$4.44	$6.76	$18.53