Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.75 / $79.77 / $122.20	Facility		$23.75	$79.77	$122.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $24.64 / $25.34	Professional		$18.34	$24.64	$25.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $16.76 / $16.76	Professional		$16.76	$16.76	$16.76
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $96.50 / $125.32 / $8,639.91	Facility		$96.50	$125.32	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $21.79 / $21.79	Professional		$21.79	$21.79	$21.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $36.29 / $81.16	Facility		$18.36	$36.29	$81.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $31.37 / $41.86	Professional		$13.11	$31.37	$41.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $16.48 / $37.83	Professional		$12.85	$16.48	$37.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.21 / $69.88 / $126.32	Facility		$46.21	$69.88	$126.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $27.00 / $27.00	Professional		$16.76	$27.00	$27.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.78 / $76.48 / $124.69	Facility		$28.78	$76.48	$124.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $24.96 / $66.03	Professional		$18.34	$24.96	$66.03
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $37.20 / $92.36	Facility		$18.16	$37.20	$92.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $31.37 / $39.75	Professional		$12.43	$31.37	$39.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $27.94 / $30.73	Facility		$27.94	$27.94	$30.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $27.94 / $30.73	Professional		$24.59	$27.94	$30.73
United Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $16.76 / $48.62	Professional		$11.73	$16.76	$48.62