Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.40 / $86.82 / $300.38	Facility		$54.40	$86.82	$300.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $95.72 / $141.65	Professional		$70.38	$95.72	$141.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.76 / $140.76 / $140.76	Professional		$140.76	$140.76	$140.76
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $80.51 / $80.51	Professional		$80.51	$80.51	$80.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $62.97 / $74.08 / $8,639.91	Facility		$62.97	$74.08	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $70.38 / $70.38	Professional		$70.38	$70.38	$70.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Facility		$80.88	$80.88	$80.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.83 / $83.08 / $332.22	Facility		$45.83	$83.08	$332.22
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $80.51 / $80.51	Professional		$80.51	$80.51	$80.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $88.38 / $296.01	Facility		$54.11	$88.38	$296.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $91.49 / $173.84	Professional		$70.38	$91.49	$173.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Facility		$80.88	$80.88	$80.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $70.38 / $81.66	Facility		$70.38	$70.38	$81.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $70.38 / $81.66	Professional		$70.38	$70.38	$81.66
United Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $86.54 / $108.18	Professional		$72.23	$86.54	$108.18