Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.16 / $166.65 / $341.94	Facility		$57.16	$166.65	$341.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $35.43 / $70.86	Professional		$32.60	$35.43	$70.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $24.45 / $67.23	Professional		$24.45	$24.45	$67.23
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $75.17 / $189.10 / $3,333.88	Facility		$75.17	$189.10	$3,333.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $205.51 / $266.87 / $8,639.91	Facility		$205.51	$266.87	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $31.78 / $31.78	Professional		$31.78	$31.78	$31.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $54.27 / $134.74	Facility		$26.78	$54.27	$134.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $46.67 / $71.51	Professional		$25.63	$46.67	$71.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $32.60 / $55.18	Professional		$18.75	$32.60	$55.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.53 / $105.69 / $206.44	Facility		$56.53	$105.69	$206.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $31.73 / $63.57	Professional		$24.45	$31.73	$63.57
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $70.31 / $179.18 / $399.47	Facility		$70.31	$179.18	$399.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $44.82 / $157.41 / $340.83	Facility		$44.82	$157.41	$340.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $35.43 / $102.88	Professional		$29.34	$35.43	$102.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $27.28 / $61.91 / $134.74	Facility		$27.28	$61.91	$134.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $46.67 / $71.51	Professional		$25.63	$46.67	$71.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $40.75 / $40.75	Facility		$40.75	$40.75	$40.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $40.75 / $58.01	Professional		$35.86	$40.75	$58.01
United Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $29.75 / $74.56	Professional		$18.34	$29.75	$74.56