Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $95.20 / $155.00	Facility		$16.73	$95.20	$155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $25.84 / $49.14	Professional		$12.60	$25.84	$49.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $9.02	Professional		$9.02	$9.02	$9.02
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $98.45 / $8,639.91	Facility		$75.81	$98.45	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $11.72 / $11.72	Professional		$11.72	$11.72	$11.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.88 / $20.02 / $49.98	Facility		$9.88	$20.02	$49.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $16.93 / $26.23	Professional		$9.47	$16.93	$26.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $12.02 / $20.35	Professional		$6.91	$12.02	$20.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $39.58 / $118.62	Facility		$17.94	$39.58	$118.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $14.50 / $14.50	Professional		$9.02	$14.50	$14.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $71.59 / $203.22	Facility		$17.64	$71.59	$203.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $25.20 / $52.08	Professional		$11.63	$25.20	$52.08
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $10.06 / $22.85 / $49.98	Facility		$10.06	$22.85	$49.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $16.93 / $26.23	Professional		$9.47	$16.93	$26.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $15.03 / $15.03	Facility		$15.03	$15.03	$15.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $15.03 / $21.39	Professional		$13.23	$15.03	$21.39
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.32 / $27.50	Professional		$6.31	$9.32	$27.50