Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $113.40 / $175.11	Facility		$27.20	$113.40	$175.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $25.57 / $51.14	Professional		$22.71	$25.57	$51.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $17.61 / $29.35	Professional		$17.61	$17.61	$29.35
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $61.02 / $1,185.34 / $2,027.25	Facility		$61.02	$1,185.34	$2,027.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $148.00 / $192.19 / $8,639.91	Facility		$148.00	$192.19	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $22.89 / $22.89	Professional		$22.89	$22.89	$22.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $39.09 / $97.79	Facility		$19.29	$39.09	$97.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $33.86 / $76.20	Professional		$22.36	$33.86	$76.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $23.48 / $39.74	Professional		$13.50	$23.48	$39.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $64.27 / $124.65	Facility		$36.47	$64.27	$124.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $22.80 / $27.98	Professional		$17.61	$22.80	$27.98
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $754.14 / $1,614.65	Facility		$29.35	$754.14	$1,614.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $83.33 / $178.85	Facility		$24.95	$83.33	$178.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $26.28 / $101.26	Professional		$22.89	$26.28	$101.26
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $44.58 / $97.79	Facility		$19.64	$44.58	$97.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $33.86 / $57.01	Professional		$22.36	$33.86	$57.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $29.35 / $34.85	Facility		$29.35	$29.35	$34.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $29.35 / $34.85	Professional		$25.83	$29.35	$34.85
United Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $19.28 / $51.07	Professional		$13.21	$19.28	$51.07