Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $16.95 / $42.48	Facility		$3.62	$16.95	$42.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $4.67 / $12.89	Professional		$3.46	$4.67	$12.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Professional		$4.26	$4.26	$4.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $22.65 / $8,639.91	Facility		$17.44	$22.65	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.33 / $3.33	Professional		$3.33	$3.33	$3.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.80 / $5.70 / $14.13	Facility		$2.80	$5.70	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $4.97 / $7.62	Professional		$2.64	$4.97	$7.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.52 / $5.78	Professional		$1.96	$2.52	$5.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $14.41 / $28.72	Facility		$8.96	$14.41	$28.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.38 / $3.85	Professional		$2.56	$3.38	$3.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $12.71 / $42.48	Facility		$3.63	$12.71	$42.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $5.11 / $17.64	Professional		$3.46	$5.11	$17.64
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $6.48 / $14.13	Facility		$2.86	$6.48	$14.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $4.97 / $7.62	Professional		$2.64	$4.97	$7.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $4.26 / $4.92	Professional		$3.76	$4.26	$4.92
United Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $2.50	Facility		$2.50	$2.50	$2.50
United Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.26 / $7.81	Professional		$2.56	$4.26	$7.81