Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $87.03 / $140.00	Facility		$20.81	$87.03	$140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $18.73 / $37.74	Professional		$16.23	$18.73	$37.74
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $32.50 / $90.93 / $416.49	Facility		$32.50	$90.93	$416.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $104.93 / $136.26 / $8,639.91	Facility		$104.93	$136.26	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $16.23 / $16.23	Professional		$16.23	$16.23	$16.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $27.72 / $69.54	Facility		$13.67	$27.72	$69.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $23.95 / $36.39	Professional		$13.05	$23.95	$36.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $12.28 / $28.18	Professional		$9.57	$12.28	$28.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.44 / $51.38 / $116.50	Facility		$28.44	$51.38	$116.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $20.00 / $20.00	Professional		$12.49	$20.00	$20.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $85.96 / $201.59	Facility		$23.93	$85.96	$201.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.46 / $80.01 / $140.00	Facility		$19.46	$80.01	$140.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $18.87 / $85.95	Professional		$14.98	$18.87	$85.95
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.94 / $31.61 / $69.54	Facility		$13.94	$31.61	$69.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $23.95 / $36.39	Professional		$13.05	$23.95	$36.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $20.81 / $20.81	Facility		$20.81	$20.81	$20.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $20.81 / $29.62	Professional		$18.30	$20.81	$29.62
United Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $13.67 / $38.08	Professional		$9.36	$13.67	$38.08