Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.78 / $86.86 / $205.76	Facility		$28.78	$86.86	$205.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $30.48 / $59.04	Professional		$27.43	$30.48	$59.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $20.32 / $20.32	Professional		$20.32	$20.32	$20.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $170.76 / $221.75 / $8,639.91	Facility		$170.76	$221.75	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $26.41 / $26.41	Professional		$26.41	$26.41	$26.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $45.09 / $111.92	Facility		$22.25	$45.09	$111.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $39.24 / $59.24	Professional		$21.28	$39.24	$59.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $19.98 / $45.85	Professional		$6.83	$19.98	$45.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.61 / $77.12 / $248.99	Facility		$44.61	$77.12	$248.99
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $26.41 / $32.50	Professional		$20.32	$26.41	$32.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $27.43 / $92.71 / $218.59	Facility		$27.43	$92.71	$218.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $30.48 / $80.01	Professional		$26.41	$30.48	$80.01
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.67 / $51.45 / $111.92	Facility		$22.67	$51.45	$111.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $39.24 / $59.24	Professional		$21.28	$39.24	$59.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $33.86 / $33.86	Facility		$33.86	$33.86	$33.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $33.86 / $44.00	Professional		$29.80	$33.86	$44.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $22.19 / $61.96	Professional		$15.24	$22.19	$61.96