Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.19 / $22.00 / $365.48	Facility		$8.19	$22.00	$365.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $4.26 / $16.85	Professional		$2.66	$4.26	$16.85
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $8.77 / $600.87	Facility		$3.49	$8.77	$600.87
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $2.13 / $2.22	Professional		$2.13	$2.13	$2.22
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $15.34 / $8,639.91	Facility		$11.81	$15.34	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $7.75	Professional		$2.56	$2.56	$7.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.16 / $4.26 / $10.87	Facility		$2.16	$4.26	$10.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $3.72 / $4.65	Professional		$1.54	$3.72	$4.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.94 / $4.44	Professional		$1.51	$1.94	$4.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $13.08 / $22.54	Facility		$4.54	$13.08	$22.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.54 / $4.76	Professional		$2.50	$2.54	$4.76
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $8.13 / $18.55	Facility		$3.49	$8.13	$18.55
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $2.13 / $2.22	Professional		$2.13	$2.13	$2.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $20.86 / $133.46	Facility		$4.59	$20.86	$133.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $4.50 / $16.85	Professional		$2.70	$4.50	$16.85
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.16 / $4.36 / $10.87	Facility		$2.16	$4.36	$10.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $3.72 / $4.65	Professional		$1.40	$3.72	$4.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $3.28 / $3.28	Facility		$3.28	$3.28	$3.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $3.28 / $3.33	Professional		$2.89	$3.28	$3.33
United Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $3.27 / $5.58	Professional		$1.80	$3.27	$5.58