Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.33 / $186.02 / $430.25	Facility		$62.33	$186.02	$430.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $36.79 / $74.86	Professional		$7.49	$36.79	$74.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $24.77 / $68.11	Professional		$8.26	$24.77	$68.11
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $64.09 / $184.59 / $758.92	Facility		$64.09	$184.59	$758.92
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $208.17 / $270.32 / $8,639.91	Facility		$208.17	$270.32	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $32.20 / $32.20	Professional		$32.20	$32.20	$32.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.13 / $54.97 / $136.91	Facility		$27.13	$54.97	$136.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $47.50 / $72.36	Professional		$25.94	$47.50	$72.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $33.02 / $55.89	Professional		$18.98	$33.02	$55.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.12 / $107.37 / $209.13	Facility		$59.12	$107.37	$209.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $39.50 / $67.84	Professional		$24.77	$39.50	$67.84
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $51.60 / $174.20 / $397.62	Facility		$51.60	$174.20	$397.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.82 / $162.57 / $363.30	Facility		$47.82	$162.57	$363.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $37.15 / $97.55	Professional		$30.96	$37.15	$97.55
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $62.70 / $136.91	Facility		$27.63	$62.70	$136.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $47.50 / $72.36	Professional		$25.94	$47.50	$72.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $41.28 / $41.28	Facility		$41.28	$41.28	$41.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.33 / $41.28 / $58.75	Professional		$36.33	$41.28	$58.75
United Facility/Professional Facility Modifier Low / Median / High Price $34.60 / $34.60 / $69.20	Facility		$34.60	$34.60	$69.20
United Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $26.42 / $75.54	Professional		$18.57	$26.42	$75.54