Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.47 / $196.30 / $325.98	Facility		$58.47	$196.30	$325.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $52.18 / $59.20	Professional		$47.38	$52.18	$59.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $43.31 / $43.31	Professional		$43.31	$43.31	$43.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $249.34 / $323.77 / $8,639.91	Facility		$249.34	$323.77	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $56.31 / $56.31	Professional		$56.31	$56.31	$56.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.33 / $96.13 / $211.14	Facility		$48.33	$96.13	$211.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $81.48 / $108.02	Professional		$33.15	$81.48	$108.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $42.59 / $97.75	Professional		$33.21	$42.59	$97.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.99 / $188.31 / $361.07	Facility		$120.99	$188.31	$361.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $51.00 / $58.68	Professional		$43.31	$51.00	$58.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $58.46 / $184.08 / $330.26	Facility		$58.46	$184.08	$330.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $52.57 / $298.14	Professional		$47.38	$52.57	$298.14
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $50.44 / $111.65 / $239.05	Facility		$50.44	$111.65	$239.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $31.06 / $81.48 / $103.77	Professional		$31.06	$81.48	$103.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $72.19 / $72.19 / $79.41	Facility		$72.19	$72.19	$79.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $72.19 / $79.41	Professional		$63.53	$72.19	$79.41
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $44.76 / $122.72	Professional		$30.32	$44.76	$122.72