Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $24.62 / $56.20	Facility		$5.00	$24.62	$56.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $4.76 / $5.64	Professional		$3.84	$4.76	$5.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $3.53 / $3.53	Professional		$3.53	$3.53	$3.53
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $28.25 / $8,639.91	Facility		$21.76	$28.25	$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 / $7.64 / $19.55	Facility		$3.87	$7.64	$19.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $6.50 / $8.78	Professional		$2.66	$6.50	$8.78
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 $10.38 / $10.69 / $29.78	Facility		$10.38	$10.69	$29.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.99 / $16.66 / $34.10	Facility		$4.99	$16.66	$34.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $4.82 / $24.28	Professional		$3.87	$4.82	$24.28
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $7.83 / $19.55	Facility		$3.93	$7.83	$19.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $6.50 / $8.26	Professional		$2.64	$6.50	$8.26
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 / $6.14	Professional		$5.17	$5.88	$6.14
United Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $3.53 / $10.00	Professional		$2.65	$3.53	$10.00