Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $80.81 / $388.38	Facility		$18.82	$80.81	$388.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $16.34 / $46.56	Professional		$15.33	$16.34	$46.56
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $25.50 / $69.73 / $1,632.15	Facility		$25.50	$69.73	$1,632.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $91.08 / $118.27 / $8,639.91	Facility		$91.08	$118.27	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Professional		$17.29	$17.29	$17.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $28.82 / $73.89	Facility		$14.57	$28.82	$73.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $24.87 / $33.08	Professional		$11.34	$24.87	$33.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $13.08 / $30.02	Professional		$10.19	$13.08	$30.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.67 / $62.08 / $219.00	Facility		$30.67	$62.08	$219.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $13.30 / $17.50	Professional		$13.30	$13.30	$17.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $24.92 / $65.92 / $154.60	Facility		$24.92	$65.92	$154.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $80.81 / $381.00	Facility		$18.82	$80.81	$381.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $17.96 / $91.56	Professional		$15.52	$17.96	$91.56
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $14.84 / $29.52 / $73.89	Facility		$14.84	$29.52	$73.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $24.87 / $32.01	Professional		$11.34	$24.87	$32.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $22.17 / $22.17	Facility		$22.17	$22.17	$22.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $22.17 / $25.71	Professional		$19.51	$22.17	$25.71
United Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $13.30 / $39.11	Professional		$9.98	$13.30	$39.11