Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.52 / $86.29 / $202.26	Facility		$25.52	$86.29	$202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $17.48 / $19.63	Professional		$7.94	$17.48	$19.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $11.78 / $19.63	Professional		$4.91	$11.78	$19.63
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $25.91 / $328.81	Facility		$10.30	$25.91	$328.81
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $98.99 / $128.55 / $8,639.91	Facility		$98.99	$128.55	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $15.31 / $15.31	Professional		$15.31	$15.31	$15.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.91 / $26.14 / $65.20	Facility		$12.91	$26.14	$65.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $22.72 / $34.27	Professional		$12.27	$22.72	$34.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $11.58 / $26.58	Professional		$9.02	$11.58	$26.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.16 / $52.81 / $136.21	Facility		$27.16	$52.81	$136.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $16.69 / $19.00	Professional		$11.78	$16.69	$19.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $24.68 / $54.73	Facility		$12.08	$24.68	$54.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $79.06 / $218.58	Facility		$19.63	$79.06	$218.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $17.66 / $55.74	Professional		$12.76	$17.66	$55.74
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $29.82 / $65.20	Facility		$13.14	$29.82	$65.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $22.72 / $34.27	Professional		$12.27	$22.72	$34.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $19.63 / $19.63	Facility		$19.63	$19.63	$19.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $19.63 / $25.50	Professional		$17.27	$19.63	$25.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $12.60 / $35.92	Professional		$8.83	$12.60	$35.92