Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.53 / $76.25 / $182.20	Facility		$28.53	$76.25	$182.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.85 / $30.88	Professional		$12.59	$14.85	$30.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $17.03 / $28.10	Professional		$10.22	$17.03	$28.10
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $24.12 / $69.47 / $269.37	Facility		$24.12	$69.47	$269.37
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $85.90 / $111.55 / $8,639.91	Facility		$85.90	$111.55	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $13.28 / $13.28	Professional		$13.28	$13.28	$13.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.20 / $22.68 / $56.50	Facility		$11.20	$22.68	$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 $7.83 / $13.62 / $23.06	Professional		$7.83	$13.62	$23.06
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $44.29 / $94.18	Facility		$23.80	$44.29	$94.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $14.48 / $27.99	Professional		$10.22	$14.48	$27.99
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $21.29 / $65.56 / $149.65	Facility		$21.29	$65.56	$149.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $75.20 / $200.34	Facility		$19.98	$75.20	$200.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $14.85 / $30.88	Professional		$12.77	$14.85	$30.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.40 / $25.87 / $56.50	Facility		$11.40	$25.87	$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 Professional Modifier Low / Median / High Price $24.25 / $24.25 / $24.25	Professional		$24.25	$24.25	$24.25
United Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $10.45 / $30.12	Professional		$7.15	$10.45	$30.12