Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $49.98 / $81.95	Facility		$15.88	$49.98	$81.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $17.54 / $32.02	Professional		$15.88	$17.54	$32.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $11.76 / $11.76	Professional		$11.76	$11.76	$11.76
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $98.78 / $128.27 / $8,639.91	Facility		$98.78	$128.27	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $15.29 / $15.29	Professional		$15.29	$15.29	$15.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $26.10 / $65.20	Facility		$13.56	$26.10	$65.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $22.72 / $34.27	Professional		$12.27	$22.72	$34.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $11.56 / $26.54	Professional		$8.23	$11.56	$26.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.71 / $49.64 / $60.28	Facility		$48.71	$49.64	$60.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.66 / $53.30 / $85.75	Facility		$16.66	$53.30	$85.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $22.65 / $80.95	Professional		$15.29	$22.65	$80.95
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $29.77 / $65.20	Facility		$13.12	$29.77	$65.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $22.72 / $34.27	Professional		$12.27	$22.72	$34.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $19.60 / $19.60	Facility		$19.60	$19.60	$19.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $19.60 / $27.89	Professional		$17.25	$19.60	$27.89
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $12.54 / $33.32	Professional		$8.23	$12.54	$33.32