Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.78 / $68.58 / $112.45	Facility		$21.78	$68.58	$112.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $21.78 / $111.06	Professional		$15.40	$21.78	$111.06
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $31.07 / $78.16 / $195.32	Facility		$31.07	$78.16	$195.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $86.69 / $112.57 / $8,639.91	Facility		$86.69	$112.57	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $20.97 / $20.97	Professional		$20.97	$20.97	$20.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $34.96 / $87.08	Facility		$17.67	$34.96	$87.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $30.04 / $40.31	Professional		$10.72	$30.04	$40.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $15.87 / $36.40	Professional		$12.37	$15.87	$36.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.75 / $53.75 / $54.15	Facility		$53.75	$53.75	$54.15
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $29.07 / $74.06 / $157.44	Facility		$29.07	$74.06	$157.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.15 / $63.55 / $117.61	Facility		$25.15	$63.55	$117.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $22.05 / $111.06	Professional		$16.94	$22.05	$111.06
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $35.03 / $89.10	Facility		$17.48	$35.03	$89.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $30.04 / $38.72	Professional		$10.72	$30.04	$38.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $26.89 / $26.89 / $26.89	Facility		$26.89	$26.89	$26.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $26.89 / $26.89	Professional		$23.66	$26.89	$26.89
United Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $16.13 / $45.71	Professional		$11.29	$16.13	$45.71