Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $69.29 / $106.57	Facility		$21.66	$69.29	$106.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $22.66 / $23.10	Professional		$20.13	$22.66	$23.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $18.73 / $18.73	Professional		$18.73	$18.73	$18.73
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $128.49 / $166.85 / $8,639.91	Facility		$128.49	$166.85	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $19.87 / $19.87	Professional		$19.87	$19.87	$19.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $33.93 / $84.76	Facility		$16.73	$33.93	$84.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $29.32 / $44.85	Professional		$16.00	$29.32	$44.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $20.38 / $34.50	Professional		$11.72	$20.38	$34.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.03 / $68.33 / $200.79	Facility		$43.03	$68.33	$200.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $24.50 / $24.50	Professional		$15.29	$24.50	$24.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $65.34 / $106.57	Facility		$21.66	$65.34	$106.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $22.66 / $105.23	Professional		$18.35	$22.66	$105.23
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $38.69 / $84.76	Facility		$17.05	$38.69	$84.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $29.32 / $44.85	Professional		$16.00	$29.32	$44.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $25.48 / $25.48	Facility		$25.48	$25.48	$25.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $25.48 / $36.28	Professional		$22.42	$25.48	$36.28
United Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $18.98 / $44.64	Professional		$11.47	$18.98	$44.64