Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.07 / $151.72 / $245.88	Facility		$32.07	$151.72	$245.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $33.77 / $43.39	Professional		$29.43	$33.77	$43.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $22.64 / $22.64	Professional		$22.64	$22.64	$22.64
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $58.18 / $146.36 / $781.28	Facility		$58.18	$146.36	$781.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $190.24 / $247.04 / $8,639.91	Facility		$190.24	$247.04	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $29.43 / $29.43	Professional		$29.43	$29.43	$29.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $50.23 / $124.96	Facility		$24.80	$50.23	$124.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $43.37 / $66.01	Professional		$23.61	$43.37	$66.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $22.26 / $51.09	Professional		$16.14	$22.26	$51.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.96 / $97.58 / $219.27	Facility		$50.96	$97.58	$219.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $32.07 / $36.00	Professional		$22.64	$32.07	$36.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $54.43 / $138.69 / $309.19	Facility		$54.43	$138.69	$309.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.07 / $125.83 / $285.35	Facility		$32.07	$125.83	$285.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.19 / $33.95 / $107.11	Professional		$29.19	$33.95	$107.11
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $57.30 / $124.96	Facility		$25.26	$57.30	$124.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $43.37 / $66.01	Professional		$23.61	$43.37	$66.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $37.72 / $37.72	Facility		$37.72	$37.72	$37.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $37.72 / $49.01	Professional		$33.20	$37.72	$49.01
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.15 / $69.05	Professional		$16.98	$24.15	$69.05