Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $14.39 / $21.23	Facility		$4.11	$14.39	$21.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $4.11 / $20.94	Professional		$3.33	$4.11	$20.94
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.30 / $3.30	Professional		$3.30	$3.30	$3.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $24.35 / $8,639.91	Facility		$18.75	$24.35	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $3.95 / $3.95	Professional		$3.95	$3.95	$3.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $6.60 / $16.30	Facility		$3.33	$6.60	$16.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $5.74 / $7.75	Professional		$2.33	$5.74	$7.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.99 / $6.86	Professional		$2.33	$2.99	$6.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.12 / $13.64 / $23.43	Facility		$7.12	$13.64	$23.43
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.30 / $3.30	Professional		$3.30	$3.30	$3.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $13.89 / $21.23	Facility		$4.30	$13.89	$21.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $4.16 / $20.94	Professional		$3.33	$4.16	$20.94
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.40 / $6.76 / $16.30	Facility		$3.40	$6.76	$16.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $5.74 / $7.23	Professional		$2.33	$5.74	$7.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.07 / $5.07 / $5.07	Facility		$5.07	$5.07	$5.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.07 / $5.29	Professional		$4.46	$5.07	$5.29
United Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $3.04 / $8.82	Professional		$2.13	$3.04	$8.82