Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $138.30 / $212.71	Facility		$41.20	$138.30	$212.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $37.04 / $50.86	Professional		$30.39	$37.04	$50.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $30.52 / $30.52	Professional		$30.52	$30.52	$30.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $84.81 / $8,639.91	Facility		$65.31	$84.81	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $39.67 / $39.67	Professional		$39.67	$39.67	$39.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $66.12 / $168.42	Facility		$33.43	$66.12	$168.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $48.79 / $72.79	Professional		$21.28	$48.79	$72.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $30.01 / $68.86	Professional		$19.10	$30.01	$68.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.68 / $103.68 / $292.87	Facility		$103.68	$103.68	$292.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.51 / $32.50 / $32.50	Professional		$31.51	$32.50	$32.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $138.30 / $212.71	Facility		$41.20	$138.30	$212.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $40.18 / $210.05	Professional		$25.43	$40.18	$210.05
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $67.73 / $168.42	Facility		$33.06	$67.73	$168.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $57.38 / $72.79	Professional		$21.28	$57.38	$72.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Facility		$50.86	$50.86	$50.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $50.86 / $50.86	Professional		$33.44	$50.86	$50.86
United Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $30.52 / $86.46	Professional		$9.98	$30.52	$86.46