Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $53.19 / $121.57	Facility		$19.82	$53.19	$121.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $11.68 / $34.53	Professional		$9.97	$11.68	$34.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $7.73 / $21.25	Professional		$7.73	$7.73	$21.25
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $52.54 / $211.72	Facility		$18.23	$52.54	$211.72
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.36 / $8.36	Professional		$8.36	$8.36	$8.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $64.97 / $84.36 / $8,639.91	Facility		$64.97	$84.36	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $10.05 / $10.05	Professional		$10.05	$10.05	$10.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $17.14 / $42.38	Facility		$8.91	$17.14	$42.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $14.87 / $22.43	Professional		$8.08	$14.87	$22.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $8.11 / $17.44	Professional		$5.92	$8.11	$17.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $32.81 / $74.52	Facility		$17.66	$32.81	$74.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $12.50 / $12.50	Professional		$7.73	$12.50	$12.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $49.58 / $113.16	Facility		$16.10	$49.58	$113.16
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.36 / $8.36	Professional		$8.36	$8.36	$8.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $51.52 / $129.57	Facility		$14.34	$51.52	$129.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $11.68 / $32.52	Professional		$10.18	$11.68	$32.52
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $19.57 / $42.38	Facility		$8.61	$19.57	$42.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $14.87 / $22.43	Professional		$8.08	$14.87	$22.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $12.88 / $18.34	Professional		$11.33	$12.88	$18.34
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $7.73 / $23.57	Professional		$5.41	$7.73	$23.57