Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.01 / $232.60 / $581.35	Facility		$93.01	$232.60	$581.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.63 / $74.38 / $96.20	Professional		$30.63	$74.38	$96.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $68.66 / $114.43	Professional		$57.22	$68.66	$114.43
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $39.72 / $104.26 / $1,578.47	Facility		$39.72	$104.26	$1,578.47
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $276.10 / $358.54 / $8,639.91	Facility		$276.10	$358.54	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $89.26 / $89.26 / $89.26	Professional		$89.26	$89.26	$89.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $148.66 / $334.71	Facility		$75.20	$148.66	$334.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $60.16 / $119.63	Professional		$60.16	$60.16	$119.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $67.51 / $154.94	Professional		$15.15	$67.51	$154.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $237.60 / $521.60	Facility		$85.25	$237.60	$521.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $80.31 / $90.75	Professional		$68.66	$80.31	$90.75
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $99.87 / $211.11	Facility		$46.60	$99.87	$211.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $244.88 / $581.33	Facility		$80.09	$244.88	$581.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $80.09 / $114.43	Professional		$56.88	$80.09	$114.43
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $148.76 / $379.22	Facility		$74.38	$148.76	$379.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $60.16 / $119.63	Professional		$60.16	$60.16	$119.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $87.93 / $114.43 / $114.43	Facility		$87.93	$114.43	$114.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.93 / $114.43 / $114.43	Professional		$87.93	$114.43	$114.43
United Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $68.66 / $171.65	Professional		$40.95	$68.66	$171.65