Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.03 / $76.95 / $118.58	Facility		$23.03	$76.95	$118.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $19.60 / $28.20	Professional		$14.37	$19.60	$28.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $16.27	Professional		$16.27	$16.27	$16.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $93.64 / $121.59 / $8,639.91	Facility		$93.64	$121.59	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $21.15 / $21.15	Professional		$21.15	$21.15	$21.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $35.24 / $79.29	Facility		$18.14	$35.24	$79.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $31.39 / $39.24	Professional		$20.14	$31.39	$39.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $15.99 / $36.71	Professional		$10.61	$15.99	$36.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.18 / $67.04 / $128.78	Facility		$37.18	$67.04	$128.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $16.89 / $17.50	Professional		$16.45	$16.89	$17.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.05 / $73.72 / $136.36	Facility		$23.05	$73.72	$136.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $21.42 / $111.96	Professional		$15.25	$21.42	$111.96
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $45.10 / $90.19	Facility		$18.94	$45.10	$90.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $31.39 / $39.24	Professional		$26.12	$31.39	$39.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $27.11 / $29.82	Facility		$27.11	$27.11	$29.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $27.11 / $29.82	Professional		$23.86	$27.11	$29.82
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $16.27 / $46.09	Professional		$11.39	$16.27	$46.09