Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.92 / $49.08 / $78.75	Facility		$13.92	$49.08	$78.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $15.40 / $30.96	Professional		$13.92	$15.40	$30.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $10.31 / $10.31	Professional		$10.31	$10.31	$10.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $73.26 / $95.13 / $8,639.91	Facility		$73.26	$95.13	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $13.41 / $13.41	Professional		$13.41	$13.41	$13.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $22.88 / $56.50	Facility		$11.30	$22.88	$56.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.82 / $30.04	Professional		$10.72	$19.82	$30.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $10.14 / $23.28	Professional		$7.91	$10.14	$23.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.52 / $37.94 / $82.90	Facility		$25.52	$37.94	$82.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $14.00 / $14.00	Professional		$10.31	$14.00	$14.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.92 / $41.41 / $76.41	Facility		$13.92	$41.41	$76.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $15.40 / $70.98	Professional		$12.89	$15.40	$70.98
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $26.12 / $56.50	Facility		$11.51	$26.12	$56.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.82 / $30.04	Professional		$10.72	$19.82	$30.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $17.19 / $17.19	Facility		$17.19	$17.19	$17.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $17.19 / $20.68	Professional		$15.13	$17.19	$20.68
United Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $14.41 / $28.82	Facility		$14.41	$14.41	$28.82
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $10.31 / $31.46	Professional		$7.22	$10.31	$31.46