Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $63.27 / $145.94	Facility		$19.50	$63.27	$145.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $13.38 / $22.23	Professional		$9.25	$13.38	$22.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $11.11 / $30.56	Professional		$9.99	$11.11	$30.56
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $21.30 / $56.34 / $684.87	Facility		$21.30	$56.34	$684.87
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $68.56 / $89.03 / $8,639.91	Facility		$68.56	$89.03	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $24.08 / $61.94	Facility		$12.18	$24.08	$61.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $21.04 / $27.91	Professional		$8.78	$21.04	$27.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $10.93 / $25.08	Professional		$8.52	$10.93	$25.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.40 / $43.44 / $112.70	Facility		$24.40	$43.44	$112.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $12.06 / $15.75	Professional		$11.11	$12.06	$15.75
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $53.26 / $124.91	Facility		$20.14	$53.26	$124.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $60.10 / $180.39	Facility		$15.74	$60.10	$180.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $13.48 / $46.74	Professional		$12.04	$13.48	$46.74
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.40 / $24.67 / $61.94	Facility		$12.40	$24.67	$61.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $21.04 / $26.33	Professional		$8.53	$21.04	$26.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $18.52 / $18.52	Facility		$18.52	$18.52	$18.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $18.52 / $18.52	Professional		$16.30	$18.52	$18.52
United Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $11.11 / $31.48	Professional		$7.78	$11.11	$31.48