Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $71.04 / $152.35	Facility		$14.61	$71.04	$152.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $15.35 / $15.62	Professional		$13.93	$15.35	$15.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $10.32 / $10.32	Professional		$10.32	$10.32	$10.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $86.76 / $112.67 / $8,639.91	Facility		$86.76	$112.67	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $13.42 / $13.42	Professional		$13.42	$13.42	$13.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $22.90 / $57.59	Facility		$11.30	$22.90	$57.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $19.82 / $30.04	Professional		$10.87	$19.82	$30.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $10.15 / $23.29	Professional		$7.91	$10.15	$23.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $46.82 / $106.02	Facility		$21.42	$46.82	$106.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $16.50 / $16.50	Professional		$16.50	$16.50	$16.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.62 / $59.34 / $152.35	Facility		$14.62	$59.34	$152.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $15.40 / $71.04	Professional		$12.38	$15.40	$71.04
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $26.14 / $57.59	Facility		$11.52	$26.14	$57.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $19.82 / $30.04	Professional		$10.87	$19.82	$30.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $17.20 / $17.20	Facility		$17.20	$17.20	$17.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.20 / $24.49	Professional		$15.14	$17.20	$24.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $10.66 / $31.48	Professional		$7.22	$10.66	$31.48