Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.50 / $160.40 / $187.94	Facility		$35.50	$160.40	$187.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $33.42 / $90.57	Professional		$22.25	$33.42	$90.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $25.06 / $25.06	Professional		$25.06	$25.06	$25.06
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $93.84 / $121.86 / $8,639.91	Facility		$93.84	$121.86	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $32.58 / $32.58	Professional		$32.58	$32.58	$32.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.45 / $54.27 / $126.32	Facility		$27.45	$54.27	$126.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $43.58 / $62.54	Professional		$15.69	$43.58	$62.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $24.64 / $56.56	Professional		$19.21	$24.64	$56.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.78 / $98.88 / $162.10	Facility		$57.78	$98.88	$162.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $21.53 / $25.06	Professional		$18.00	$21.53	$25.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $35.50 / $107.05 / $196.14	Facility		$35.50	$107.05	$196.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $33.00 / $172.51	Professional		$22.25	$33.00	$172.51
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $54.30 / $139.09	Facility		$27.15	$54.30	$139.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $43.58 / $59.89	Professional		$15.69	$43.58	$59.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $41.77 / $41.77 / $41.77	Facility		$41.77	$41.77	$41.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $41.77 / $41.77	Professional		$26.49	$41.77	$41.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $25.06 / $58.48	Professional		$16.71	$25.06	$58.48