Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.24 / $109.34 / $168.70	Facility		$31.24	$109.34	$168.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $27.89 / $32.78	Professional		$20.57	$27.89	$32.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $23.14 / $23.14	Professional		$23.14	$23.14	$23.14
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $133.22 / $172.99 / $8,639.91	Facility		$133.22	$172.99	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $50.14 / $112.82	Facility		$25.82	$50.14	$112.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $44.19 / $55.24	Professional		$28.54	$44.19	$55.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $22.76 / $52.22	Professional		$10.61	$22.76	$52.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.32 / $85.11 / $192.91	Facility		$50.32	$85.11	$192.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $17.54 / $23.14	Professional		$13.50	$17.54	$23.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.78 / $98.34 / $172.13	Facility		$32.78	$98.34	$172.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $31.24 / $159.29	Professional		$21.71	$31.24	$159.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $26.95 / $64.17 / $128.22	Facility		$26.95	$64.17	$128.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $37.14 / $44.19 / $55.24	Professional		$37.14	$44.19	$55.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $38.57 / $42.43	Facility		$38.57	$38.57	$42.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $38.57 / $42.43	Professional		$33.94	$38.57	$42.43
United Facility/Professional Facility Modifier Low / Median / High Price $9.40 / $15.43 / $19.29	Facility		$9.40	$15.43	$19.29
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $23.14 / $65.56	Professional		$16.20	$23.14	$65.56