Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $93.69 / $161.38	Facility		$43.20	$93.69	$161.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $21.78 / $29.75	Professional		$5.49	$21.78	$29.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $15.28 / $18.72	Professional		$15.28	$15.28	$18.72
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $42.01 / $105.67 / $698.29	Facility		$42.01	$105.67	$698.29
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $128.41 / $166.75 / $8,639.91	Facility		$128.41	$166.75	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $19.87 / $19.87	Professional		$19.87	$19.87	$19.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $33.93 / $84.76	Facility		$16.73	$33.93	$84.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $29.32 / $44.43	Professional		$16.00	$29.32	$44.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $20.38 / $34.49	Professional		$11.72	$20.38	$34.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $66.43 / $124.80	Facility		$36.90	$66.43	$124.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $21.65 / $24.50	Professional		$15.28	$21.65	$24.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $42.01 / $100.69 / $223.24	Facility		$42.01	$100.69	$223.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $26.23 / $85.05 / $176.40	Facility		$26.23	$85.05	$176.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $22.19 / $33.50	Professional		$16.55	$22.19	$33.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $38.69 / $84.76	Facility		$17.05	$38.69	$84.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $29.32 / $44.43	Professional		$16.00	$29.32	$44.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $25.47 / $25.47	Facility		$25.47	$25.47	$25.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $25.47 / $36.25	Professional		$22.41	$25.47	$36.25
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $16.55 / $48.39	Professional		$10.70	$16.55	$48.39