Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.59 / $101.55 / $218.46	Facility		$26.59	$101.55	$218.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $22.01 / $39.04	Professional		$20.45	$22.01	$39.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $15.15 / $15.15	Professional		$15.15	$15.15	$15.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $127.35 / $165.37 / $8,639.91	Facility		$127.35	$165.37	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $19.70 / $19.70	Professional		$19.70	$19.70	$19.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $33.61 / $83.67	Facility		$16.60	$33.61	$83.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $28.91 / $44.43	Professional		$15.84	$28.91	$44.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $18.57 / $34.19	Professional		$11.62	$18.57	$34.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $71.14 / $155.63	Facility		$37.97	$71.14	$155.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $24.00 / $24.00	Professional		$15.15	$24.00	$24.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.47 / $75.84 / $207.45	Facility		$21.47	$75.84	$207.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $22.01 / $104.28	Professional		$18.18	$22.01	$104.28
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $38.35 / $83.67	Facility		$16.89	$38.35	$83.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $28.91 / $44.43	Professional		$15.84	$28.91	$44.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $25.25 / $25.25	Facility		$25.25	$25.25	$25.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $25.25 / $35.95	Professional		$22.22	$25.25	$35.95
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $16.59 / $44.24	Professional		$11.36	$16.59	$44.24