Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.56 / $211.00 / $356.30	Facility		$79.56	$211.00	$356.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $56.40 / $71.45	Professional		$40.39	$56.40	$71.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $37.28 / $53.62	Professional		$31.07	$37.28	$53.62
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $39.39 / $97.18 / $3,071.46	Facility		$39.39	$97.18	$3,071.46
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $40.39 / $40.39	Professional		$40.39	$40.39	$40.39
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $275.66 / $357.96 / $8,639.91	Facility		$275.66	$357.96	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $48.47 / $48.47	Professional		$48.47	$48.47	$48.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $80.78 / $181.76	Facility		$41.60	$80.78	$181.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $70.01 / $93.94	Professional		$34.47	$70.01	$93.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $36.65 / $84.14	Professional		$7.58	$36.65	$84.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.94 / $138.29 / $270.61	Facility		$63.94	$138.29	$270.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $52.87 / $96.94	Professional		$41.01	$52.87	$96.94
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $46.21 / $91.70 / $209.32	Facility		$46.21	$91.70	$209.32
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $40.39 / $40.39	Professional		$40.39	$40.39	$40.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $184.87 / $379.50	Facility		$62.14	$184.87	$379.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $57.39 / $79.81	Professional		$43.50	$57.39	$79.81
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $94.00 / $206.45	Facility		$41.60	$94.00	$206.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $70.01 / $93.94	Professional		$34.47	$70.01	$93.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $62.14 / $87.79	Facility		$62.14	$62.14	$87.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $62.14 / $87.79	Professional		$54.68	$62.14	$87.79
United Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $37.28 / $108.12	Professional		$27.96	$37.28	$108.12