Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $63.80 / $126.67	Facility		$27.85	$63.80	$126.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $9.93 / $28.82	Professional		$8.02	$9.93	$28.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $8.02 / $21.42	Professional		$8.02	$8.02	$21.42
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $54.55 / $1,851.33	Facility		$18.94	$54.55	$1,851.33
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $8.69 / $9.05	Professional		$8.69	$8.69	$9.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $87.77 / $8,639.91	Facility		$67.59	$87.77	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $10.44 / $10.44	Professional		$10.44	$10.44	$10.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.80 / $18.39 / $44.55	Facility		$8.80	$18.39	$44.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $15.28 / $29.20	Professional		$10.87	$15.28	$29.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $7.90 / $18.13	Professional		$6.10	$7.90	$18.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.92 / $39.17 / $96.23	Facility		$22.92	$39.17	$96.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $16.28 / $27.31	Professional		$8.02	$16.28	$27.31
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $51.47 / $117.49	Facility		$16.73	$51.47	$117.49
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $8.69 / $22.04	Professional		$8.69	$8.69	$22.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $55.23 / $165.75	Facility		$15.73	$55.23	$165.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $10.44 / $33.79	Professional		$8.69	$10.44	$33.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $19.78 / $44.55	Facility		$8.96	$19.78	$44.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $15.28 / $26.38	Professional		$10.87	$15.28	$26.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $19.07 / $19.07	Professional		$19.07	$19.07	$19.07
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.22 / $23.48	Professional		$6.03	$8.22	$23.48