Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $149.37 / $709.76	Facility		$34.71	$149.37	$709.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $26.54 / $34.72	Professional		$19.32	$26.54	$34.72
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $58.54 / $3,482.98	Facility		$27.30	$58.54	$3,482.98
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $152.32 / $8,459.92 / $79,506.39	Facility		$152.32	$8,459.92	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $14.44 / $14.44	Professional		$14.44	$14.44	$14.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.30 / $38.31 / $117.35	Facility		$1.30	$38.31	$117.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $31.80 / $42.49	Professional		$11.80	$31.80	$42.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $7.61 / $17.45	Professional		$5.93	$7.61	$17.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.20 / $216.90 / $768.10	Facility		$117.20	$216.90	$768.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $27.72 / $27.72	Professional		$27.72	$27.72	$27.72
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $28.29 / $56.80 / $179.73	Facility		$28.29	$56.80	$179.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $195.52 / $803.09	Facility		$41.60	$195.52	$803.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $27.29 / $54.51	Professional		$22.69	$27.29	$54.51
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.30 / $38.31 / $117.35	Facility		$1.30	$38.31	$117.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $31.80 / $42.49	Professional		$11.80	$31.80	$42.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $14.18 / $14.18	Facility		$14.18	$14.18	$14.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $14.18 / $14.61	Professional		$14.18	$14.18	$14.61
United Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $21.91 / $44.45	Professional		$9.46	$21.91	$44.45