Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.21 / $61.13 / $94.02	Facility		$18.21	$61.13	$94.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.03 / $66.00	Professional		$14.79	$20.03	$66.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $14.61 / $14.61	Professional		$14.61	$14.61	$14.61
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $81.44 / $105.76 / $8,639.91	Facility		$81.44	$105.76	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $17.53 / $17.53	Professional		$17.53	$17.53	$17.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $29.22 / $74.98	Facility		$14.78	$29.22	$74.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $25.25 / $33.59	Professional		$10.65	$25.25	$33.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $13.26 / $30.44	Professional		$10.34	$13.26	$30.44
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $14.61 / $14.61	Professional		$14.61	$14.61	$14.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.21 / $61.13 / $94.02	Facility		$18.21	$61.13	$94.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $22.04 / $92.84	Professional		$16.86	$22.04	$92.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $29.93 / $74.98	Facility		$15.05	$29.93	$74.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $25.25 / $32.01	Professional		$10.41	$25.25	$32.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $20.75 / $20.75	Professional		$20.75	$20.75	$20.75
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $22.48 / $41.14	Professional		$13.49	$22.48	$41.14