Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.25 / $88.42 / $147.81	Facility		$24.25	$88.42	$147.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $16.95 / $22.97	Professional		$11.94	$16.95	$22.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $13.78 / $22.97	Professional		$5.74	$13.78	$22.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $79.34 / $103.02 / $8,639.91	Facility		$79.34	$103.02	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $17.92 / $17.92	Professional		$17.92	$17.92	$17.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $29.02 / $68.63	Facility		$15.09	$29.02	$68.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $10.80 / $28.74	Professional		$10.80	$10.80	$28.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $13.55 / $31.10	Professional		$10.57	$13.55	$31.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.40 / $56.92 / $106.16	Facility		$22.40	$56.92	$106.16
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $16.07 / $16.14	Professional		$13.78	$16.07	$16.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.51 / $70.84 / $147.81	Facility		$19.51	$70.84	$147.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $17.32 / $31.47	Professional		$12.39	$17.32	$31.47
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $28.22 / $76.06	Facility		$16.00	$28.22	$76.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $26.01 / $33.04	Professional		$10.80	$26.01	$33.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $22.97 / $25.27	Facility		$22.97	$22.97	$25.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $22.97 / $25.27	Professional		$20.21	$22.97	$25.27
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $14.24 / $42.04	Professional		$9.65	$14.24	$42.04