Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $54.39 / $198.12	Facility		$21.28	$54.39	$198.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $9.27 / $14.93	Professional		$3.34	$9.27	$14.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $5.86 / $16.12	Professional		$5.86	$5.86	$16.12
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $9.08 / $23.82 / $1,064.57	Facility		$9.08	$23.82	$1,064.57
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $9.38 / $9.38	Professional		$9.38	$9.38	$9.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $50.75 / $8,459.92 / $79,506.39	Facility		$50.75	$8,459.92	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $7.62 / $7.62	Professional		$7.62	$7.62	$7.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.42 / $13.01 / $32.60	Facility		$6.42	$13.01	$32.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $11.15 / $20.30	Professional		$7.77	$11.15	$20.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $5.76 / $13.23	Professional		$4.49	$5.76	$13.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.77 / $78.17 / $184.04	Facility		$28.77	$78.17	$184.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.13 / $6.45	Professional		$2.50	$3.13	$6.45
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9.08 / $21.76 / $677.30	Facility		$9.08	$21.76	$677.30
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $9.38 / $9.38	Professional		$9.38	$9.38	$9.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.82 / $56.71 / $252.78	Facility		$15.82	$56.71	$252.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $9.80 / $22.83	Professional		$3.42	$9.80	$22.83
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $6.54 / $14.20 / $41.83	Facility		$6.54	$14.20	$41.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $11.15 / $20.30	Professional		$7.77	$11.15	$20.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $7.88 / $9.77	Facility		$3.75	$7.88	$9.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $7.88 / $9.77	Professional		$3.75	$7.88	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.88 / $17.88	Professional		$4.09	$5.88	$17.88