Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $81.69 / $143.16	Facility		$17.27	$81.69	$143.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $17.59 / $18.43	Professional		$15.85	$17.59	$18.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $20.32 / $20.32	Professional		$12.19	$20.32	$20.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $102.48 / $133.08 / $8,639.91	Facility		$102.48	$133.08	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $27.06 / $67.37	Facility		$13.36	$27.06	$67.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $23.54 / $35.54	Professional		$12.74	$23.54	$35.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $16.26 / $27.51	Professional		$9.35	$16.26	$27.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $54.96 / $105.04	Facility		$28.97	$54.96	$105.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $17.28 / $19.50	Professional		$12.19	$17.28	$19.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $57.61 / $165.92	Facility		$17.26	$57.61	$165.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $17.71 / $51.29	Professional		$15.24	$17.71	$51.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.61 / $30.87 / $67.37	Facility		$13.61	$30.87	$67.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $23.54 / $35.54	Professional		$12.74	$23.54	$35.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $20.32 / $20.32	Facility		$20.32	$20.32	$20.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.88 / $20.32 / $28.92	Professional		$17.88	$20.32	$28.92
United Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $13.00 / $37.19	Professional		$9.14	$13.00	$37.19