Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $51.14 / $80.83	Facility		$15.88	$51.14	$80.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $16.85 / $33.86	Professional		$9.90	$16.85	$33.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $11.21 / $11.21	Professional		$11.21	$11.21	$11.21
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $17.45 / $45.32 / $1,118.25	Facility		$17.45	$45.32	$1,118.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $54.74 / $71.09 / $8,639.91	Facility		$54.74	$71.09	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $14.57 / $14.57	Professional		$14.57	$14.57	$14.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $24.87 / $61.94	Facility		$12.28	$24.87	$61.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $21.48 / $32.58	Professional		$11.80	$21.48	$32.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $14.94 / $25.29	Professional		$8.59	$14.94	$25.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $63.36 / $123.74	Facility		$30.33	$63.36	$123.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $10.50 / $11.21	Professional		$10.50	$10.50	$11.21
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $41.61 / $92.76	Facility		$18.68	$41.61	$92.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $47.64 / $83.37	Facility		$15.88	$47.64	$83.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $16.96 / $77.15	Professional		$13.45	$16.96	$77.15
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $28.40 / $61.94	Facility		$12.50	$28.40	$61.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $21.48 / $32.58	Professional		$11.80	$21.48	$32.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.45 / $15.45 / $15.45	Facility		$15.45	$15.45	$15.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $15.45 / $15.45	Professional		$15.45	$15.45	$15.45
United Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $22.42 / $22.42	Facility		$16.80	$22.42	$22.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $11.21 / $31.76	Professional		$7.47	$11.21	$31.76