Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $96.35 / $215.38	Facility		$38.25	$96.35	$215.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $22.18 / $51.62	Professional		$9.61	$22.18	$51.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $15.49 / $15.49	Professional		$14.97	$15.49	$15.49
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $115.41 / $1,446.77	Facility		$40.07	$115.41	$1,446.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $130.21 / $169.09 / $8,639.91	Facility		$130.21	$169.09	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $20.13 / $20.13	Professional		$20.13	$20.13	$20.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $34.38 / $85.84	Facility		$17.86	$34.38	$85.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $29.74 / $45.28	Professional		$16.14	$29.74	$45.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $20.65 / $34.95	Professional		$11.87	$20.65	$34.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.08 / $70.39 / $140.35	Facility		$36.08	$70.39	$140.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.25 / $31.31	Professional		$15.49	$20.25	$31.31
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $32.26 / $108.91 / $248.59	Facility		$32.26	$108.91	$248.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $95.38 / $243.04	Facility		$28.22	$95.38	$243.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $22.18 / $51.62	Professional		$18.07	$22.18	$51.62
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $39.22 / $85.84	Facility		$17.28	$39.22	$85.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $29.07 / $45.28	Professional		$16.14	$29.07	$45.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $25.81 / $25.81	Facility		$25.81	$25.81	$25.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $25.81 / $36.75	Professional		$22.71	$25.81	$36.75
United Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $16.52 / $47.23	Professional		$11.55	$16.52	$47.23