Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.15 / $57.13 / $98.40	Facility		$22.15	$57.13	$98.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $12.56 / $25.12	Professional		$9.65	$12.56	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $8.63 / $23.74	Professional		$8.63	$8.63	$23.74
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $21.73 / $62.58 / $730.09	Facility		$21.73	$62.58	$730.09
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Professional		$9.35	$9.35	$9.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $94.27 / $8,639.91	Facility		$72.59	$94.27	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $19.16 / $47.81	Facility		$9.96	$19.16	$47.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $16.52 / $25.39	Professional		$9.01	$16.52	$25.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $11.51 / $19.48	Professional		$6.62	$11.51	$19.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $37.40 / $72.56	Facility		$19.55	$37.40	$72.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $14.00 / $17.53	Professional		$8.63	$14.00	$17.53
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $59.06 / $134.81	Facility		$17.98	$59.06	$134.81
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Professional		$9.35	$9.35	$9.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.02 / $52.15 / $101.07	Facility		$16.02	$52.15	$101.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $12.84 / $43.51	Professional		$11.22	$12.84	$43.51
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $21.86 / $47.81	Facility		$9.63	$21.86	$47.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $16.52 / $25.39	Professional		$9.01	$16.52	$25.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $14.39 / $14.39	Facility		$14.39	$14.39	$14.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $14.39 / $20.49	Professional		$12.66	$14.39	$20.49
United Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $8.92 / $26.33	Professional		$6.04	$8.92	$26.33