Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $51.80 / $125.77	Facility		$12.58	$51.80	$125.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $13.22 / $13.42	Professional		$11.99	$13.22	$13.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $8.88 / $8.88	Professional		$8.88	$8.88	$8.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $74.64 / $96.93 / $8,639.91	Facility		$74.64	$96.93	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $11.54	Professional		$11.54	$11.54	$11.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $19.71 / $48.90	Facility		$9.73	$19.71	$48.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $16.93 / $25.81	Professional		$9.32	$16.93	$25.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $8.73 / $20.04	Professional		$6.81	$8.73	$20.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $57.84 / $243.88	Facility		$29.60	$57.84	$243.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $14.00 / $14.00	Professional		$8.88	$14.00	$14.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $51.08 / $118.25	Facility		$17.14	$51.08	$118.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $13.25 / $61.12	Professional		$11.45	$13.25	$61.12
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $9.91 / $22.47 / $48.90	Facility		$9.91	$22.47	$48.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $16.93 / $25.81	Professional		$9.32	$16.93	$25.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $14.80 / $14.80	Facility		$14.80	$14.80	$14.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $14.80 / $21.06	Professional		$13.02	$14.80	$21.06
United Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $9.08 / $25.93	Professional		$6.22	$9.08	$25.93