Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.98 / $92.66 / $173.04	Facility		$12.98	$92.66	$173.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $11.63 / $21.00	Professional		$9.83	$11.63	$21.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $24.57 / $24.57	Professional		$24.57	$24.57	$24.57
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.10 / $12.59	Professional		$12.10	$12.10	$12.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $51.67 / $67.09 / $8,639.91	Facility		$51.67	$67.09	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $9.83 / $9.83	Professional		$9.83	$9.83	$9.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $16.38 / $36.86	Facility		$8.27	$16.38	$36.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $14.39 / $27.30	Professional		$6.52	$14.39	$27.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $7.43 / $17.05	Professional		$5.05	$7.43	$17.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $48.62 / $129.65	Facility		$16.60	$48.62	$129.65
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.10 / $12.59	Professional		$12.10	$12.10	$12.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.71 / $52.04 / $234.84	Facility		$10.71	$52.04	$234.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $12.72 / $29.77	Professional		$9.82	$12.72	$29.77
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $18.32 / $41.29	Facility		$8.44	$18.32	$41.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $14.39 / $18.07	Professional		$6.52	$14.39	$18.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $16.46 / $16.46	Facility		$16.46	$16.46	$16.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $16.46 / $16.46	Professional		$16.46	$16.46	$16.46
United Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $7.56 / $21.92	Professional		$5.67	$7.56	$21.92