Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.19 / $60.03 / $99.99	Facility		$15.19	$60.03	$99.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $16.23 / $17.00	Professional		$15.19	$16.23	$17.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $11.25 / $11.25	Professional		$11.25	$11.25	$11.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $73.19 / $95.04 / $8,639.91	Facility		$73.19	$95.04	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $14.62 / $14.62	Professional		$14.62	$14.62	$14.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $24.97 / $61.94	Facility		$12.32	$24.97	$61.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $21.48 / $33.01	Professional		$11.80	$21.48	$33.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $15.00 / $25.39	Professional		$8.63	$15.00	$25.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.70 / $43.94 / $100.92	Facility		$24.70	$43.94	$100.92
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $14.00 / $14.00	Professional		$11.25	$14.00	$14.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.19 / $51.34 / $99.99	Facility		$15.19	$51.34	$99.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $16.23 / $77.44	Professional		$14.63	$16.23	$77.44
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $28.50 / $61.94	Facility		$12.56	$28.50	$61.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $21.48 / $33.01	Professional		$11.80	$21.48	$33.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $18.75 / $18.75	Facility		$18.75	$18.75	$18.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $18.75 / $20.66	Professional		$16.50	$18.75	$20.66
United Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $12.00 / $34.31	Professional		$8.44	$12.00	$34.31