Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.39 / $229.67 / $441.47	Facility		$83.39	$229.67	$441.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $79.47 / $134.41	Professional		$57.68	$79.47	$134.41
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $59.75 / $143.22 / $765.38	Facility		$59.75	$143.22	$765.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $313.06 / $406.53 / $8,639.91	Facility		$313.06	$406.53	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $76.53 / $76.53	Professional		$76.53	$76.53	$76.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.77 / $134.60 / $325.98	Facility		$63.77	$134.60	$325.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.27 / $110.94 / $146.78	Professional		$44.27	$110.94	$146.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $71.91 / $132.84	Professional		$45.13	$71.91	$132.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.07 / $216.61 / $466.02	Facility		$125.07	$216.61	$466.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.44 / $60.44 / $62.00	Professional		$60.44	$60.44	$62.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $70.09 / $139.11 / $317.54	Facility		$70.09	$139.11	$317.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $83.39 / $224.07 / $410.34	Facility		$83.39	$224.07	$410.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $80.45 / $405.19	Professional		$61.81	$80.45	$405.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $63.77 / $131.16 / $325.98	Facility		$63.77	$131.16	$325.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $110.94 / $140.94	Professional		$40.38	$110.94	$140.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $98.11 / $98.11	Professional		$79.76	$98.11	$98.11
United Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $58.87 / $197.46	Professional		$41.21	$58.87	$197.46