Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $25.90 / $68.09	Facility		$5.00	$25.90	$68.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $5.25 / $6.80	Professional		$4.65	$5.25	$6.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $5.88 / $5.88	Professional		$5.88	$5.88	$5.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $29.67 / $38.53 / $8,639.91	Facility		$29.67	$38.53	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $4.59 / $4.59	Professional		$4.59	$4.59	$4.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $7.83 / $19.55	Facility		$3.87	$7.83	$19.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $6.61 / $10.16	Professional		$3.73	$6.61	$10.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $3.47 / $7.96	Professional		$2.70	$3.47	$7.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.75 / $17.57 / $43.85	Facility		$7.75	$17.57	$43.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.50 / $5.50	Professional		$3.89	$5.50	$5.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.52 / $24.28 / $53.92	Facility		$5.52	$24.28	$53.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $5.33 / $24.28	Professional		$4.23	$5.33	$24.28
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $8.93 / $19.55	Facility		$3.93	$8.93	$19.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $6.61 / $10.16	Professional		$3.73	$6.61	$10.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.88 / $5.88 / $5.88	Facility		$5.88	$5.88	$5.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $5.88 / $8.36	Professional		$5.17	$5.88	$8.36
United Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $4.36 / $10.23	Professional		$2.65	$4.36	$10.23