Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $85.54 / $189.63	Facility		$19.39	$85.54	$189.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $20.43 / $20.69	Professional		$15.51	$20.43	$20.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $13.69 / $13.69	Professional		$13.69	$13.69	$13.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $115.08 / $149.44 / $8,639.91	Facility		$115.08	$149.44	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $17.79 / $17.79	Professional		$17.79	$17.79	$17.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $30.38 / $76.06	Facility		$14.99	$30.38	$76.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $26.43 / $40.20	Professional		$14.29	$26.43	$40.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $18.25 / $30.88	Professional		$10.49	$18.25	$30.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $69.75 / $170.00	Facility		$43.25	$69.75	$170.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $17.85 / $22.00	Professional		$13.69	$17.85	$22.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.42 / $67.87 / $189.63	Facility		$19.42	$67.87	$189.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $20.54 / $94.21	Professional		$17.11	$20.54	$94.21
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.27 / $34.67 / $76.06	Facility		$15.27	$34.67	$76.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $26.43 / $40.20	Professional		$14.29	$26.43	$40.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $22.81 / $22.81	Facility		$22.81	$22.81	$22.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $22.81 / $32.49	Professional		$20.07	$22.81	$32.49
United Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $14.83 / $39.97	Professional		$10.26	$14.83	$39.97