Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $49.00 / $92.45	Facility		$14.63	$49.00	$92.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $10.96 / $14.17	Professional		$9.73	$10.96	$14.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $12.32	Professional		$12.32	$12.32	$12.32
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $761.09 / $2,045.95	Facility		$9.42	$761.09	$2,045.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $26.28 / $34.13 / $8,639.91	Facility		$26.28	$34.13	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $9.61 / $9.61	Professional		$9.61	$9.61	$9.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $16.41 / $41.29	Facility		$8.10	$16.41	$41.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $14.04 / $21.58	Professional		$7.77	$14.04	$21.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $9.86 / $16.68	Professional		$5.67	$9.86	$16.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $30.46 / $69.84	Facility		$18.92	$30.46	$69.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $7.39	Professional		$5.00	$5.00	$7.39
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $18.69 / $1,629.54	Facility		$14.37	$18.69	$1,629.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $48.91 / $111.51	Facility		$12.96	$48.91	$111.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $11.03 / $50.88	Professional		$8.61	$11.03	$50.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $8.25 / $18.73 / $41.29	Facility		$8.25	$18.73	$41.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $14.04 / $21.58	Professional		$7.77	$14.04	$21.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $12.32 / $12.32	Facility		$12.32	$12.32	$12.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $12.32 / $12.32	Professional		$7.42	$12.32	$12.32
United Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $7.39 / $22.55	Professional		$4.20	$7.39	$22.55