Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $94.88 / $102.11	Facility		$20.05	$94.88	$102.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $17.19 / $33.86	Professional		$14.34	$17.19	$33.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $14.16 / $14.16	Professional		$14.16	$14.16	$14.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $83.03 / $107.82 / $8,639.91	Facility		$83.03	$107.82	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $18.41 / $18.41	Professional		$18.41	$18.41	$18.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $30.68 / $78.23	Facility		$15.52	$30.68	$78.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $26.78 / $35.14	Professional		$10.25	$26.78	$35.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $18.57 / $31.95	Professional		$10.86	$18.57	$31.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.95 / $79.61 / $255.28	Facility		$57.95	$79.61	$255.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $14.16 / $16.00	Professional		$14.16	$14.16	$16.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $64.63 / $103.25	Facility		$20.07	$64.63	$103.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $18.64 / $97.47	Professional		$14.87	$18.64	$97.47
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.34 / $31.43 / $78.23	Facility		$15.34	$31.43	$78.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $26.78 / $34.07	Professional		$10.25	$26.78	$34.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $23.60 / $23.60	Facility		$23.60	$23.60	$23.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $23.60 / $23.60	Professional		$20.77	$23.60	$23.60
United Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $14.16 / $41.06	Professional		$9.91	$14.16	$41.06