Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $118.50 / $246.49	Facility		$23.28	$118.50	$246.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $19.80 / $27.39	Professional		$17.53	$19.80	$27.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $16.43 / $16.43	Professional		$16.43	$16.43	$16.43
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $101.41 / $131.68 / $8,639.91	Facility		$101.41	$131.68	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $21.36 / $21.36	Professional		$21.36	$21.36	$21.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $35.60 / $91.27	Facility		$18.00	$35.60	$91.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $30.99 / $40.83	Professional		$12.58	$30.99	$40.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $16.16 / $37.09	Professional		$12.60	$16.16	$37.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.20 / $93.72 / $183.11	Facility		$47.20	$93.72	$183.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.61 / $99.18 / $201.26	Facility		$25.61	$99.18	$201.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $21.36 / $113.12	Professional		$18.00	$21.36	$113.12
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $36.47 / $91.27	Facility		$18.32	$36.47	$91.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $30.99 / $39.75	Professional		$12.58	$30.99	$39.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.39 / $27.39 / $27.39	Facility		$27.39	$27.39	$27.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $27.39 / $28.62	Professional		$24.10	$27.39	$28.62
United Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $17.53 / $50.12	Professional		$12.33	$17.53	$50.12