Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $53.69 / $81.20	Facility		$15.33	$53.69	$81.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $15.63 / $31.02	Professional		$14.26	$15.63	$31.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $18.05	Professional		$18.05	$18.05	$18.05
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $28.01 / $78.38 / $836.95	Facility		$28.01	$78.38	$836.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $91.04 / $118.23 / $8,639.91	Facility		$91.04	$118.23	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $14.08 / $14.08	Professional		$14.08	$14.08	$14.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.86 / $24.03 / $59.76	Facility		$11.86	$24.03	$59.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $20.65 / $31.74	Professional		$11.34	$20.65	$31.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $10.65 / $24.44	Professional		$8.30	$10.65	$24.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.13 / $44.01 / $111.33	Facility		$18.13	$44.01	$111.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $15.90 / $17.50	Professional		$10.83	$15.90	$17.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20.76 / $74.09 / $173.76	Facility		$20.76	$74.09	$173.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.62 / $47.65 / $81.27	Facility		$14.62	$47.65	$81.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $15.75 / $74.55	Professional		$13.54	$15.75	$74.55
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $27.42 / $59.76	Facility		$12.08	$27.42	$59.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $20.65 / $31.74	Professional		$11.34	$20.65	$31.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $18.05	Facility		$18.05	$18.05	$18.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $18.05 / $25.70	Professional		$15.88	$18.05	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.07 / $31.63	Professional		$8.11	$11.07	$31.63