Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $46.80 / $98.70	Facility		$15.15	$46.80	$98.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $9.67 / $12.61	Professional		$8.52	$9.67	$12.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $10.80 / $10.80	Professional		$10.80	$10.80	$10.80
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $49.18 / $3,757.32	Facility		$19.55	$49.18	$3,757.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $54.50 / $70.77 / $8,639.91	Facility		$54.50	$70.77	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.42 / $8.42	Professional		$8.42	$8.42	$8.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.10 / $14.38 / $35.86	Facility		$7.10	$14.38	$35.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $12.39 / $19.04	Professional		$6.83	$12.39	$19.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $8.64 / $14.62	Professional		$4.97	$8.64	$14.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $28.08 / $80.31	Facility		$15.39	$28.08	$80.31
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $8.49 / $11.55	Professional		$7.13	$8.49	$11.55
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $46.60 / $2,390.46	Facility		$18.29	$46.60	$2,390.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $44.60 / $99.06	Facility		$13.13	$44.60	$99.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $9.80 / $44.60	Professional		$8.42	$9.80	$44.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $7.23 / $16.42 / $35.86	Facility		$7.23	$16.42	$35.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $12.39 / $19.04	Professional		$6.83	$12.39	$19.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $10.80 / $10.80	Facility		$10.80	$10.80	$10.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $10.80 / $15.38	Professional		$9.50	$10.80	$15.38
United Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Facility		$18.00	$18.00	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $6.70 / $19.76	Professional		$4.54	$6.70	$19.76