Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $73.30 / $210.41	Facility		$23.72	$73.30	$210.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $14.77 / $30.72	Professional		$13.55	$14.77	$30.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.16 / $10.16	Professional		$10.16	$10.16	$10.16
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $30.37 / $76.40 / $2,252.90	Facility		$30.37	$76.40	$2,252.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $85.45 / $110.96 / $8,639.91	Facility		$85.45	$110.96	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $13.21 / $13.21	Professional		$13.21	$13.21	$13.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $22.56 / $56.50	Facility		$11.13	$22.56	$56.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $19.41 / $29.62	Professional		$10.56	$19.41	$29.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $13.55 / $22.94	Professional		$7.79	$13.55	$22.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.15 / $45.56 / $113.01	Facility		$25.15	$45.56	$113.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $14.40 / $16.50	Professional		$10.16	$14.40	$16.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $28.41 / $72.39 / $161.40	Facility		$28.41	$72.39	$161.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.45 / $67.25 / $210.41	Facility		$17.45	$67.25	$210.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $14.77 / $69.95	Professional		$12.20	$14.77	$69.95
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $25.74 / $56.50	Facility		$11.34	$25.74	$56.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $19.41 / $29.62	Professional		$10.56	$19.41	$29.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $16.94 / $16.94	Facility		$16.94	$16.94	$16.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $16.94 / $24.11	Professional		$14.91	$16.94	$24.11
United Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $11.01 / $32.19	Professional		$7.35	$11.01	$32.19