Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.11 / $4,704.41 / $11,139.08	Facility		$360.11	$4,704.41	$11,139.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $279.85 / $2,685.51	Professional		$279.85	$279.85	$2,685.51
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $287.76 / $408.02 / $109,956.88	Facility		$287.76	$408.02	$109,956.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $258.08 / $303.62 / $8,639.91	Facility		$258.08	$303.62	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $290.41 / $290.41 / $290.41	Professional		$290.41	$290.41	$290.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.01 / $375.45 / $375.45	Facility		$264.01	$375.45	$375.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.45 / $375.45 / $375.45	Professional		$375.45	$375.45	$375.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.70 / $582.04 / $1,078.42	Facility		$325.70	$582.04	$1,078.42
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $266.44 / $371.15 / $105,571.60	Facility		$266.44	$371.15	$105,571.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $437.06 / $5,096.93 / $12,054.47	Facility		$437.06	$5,096.93	$12,054.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $266.44 / $279.85 / $831.15	Professional		$266.44	$279.85	$831.15
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $264.01 / $375.45 / $375.45	Facility		$264.01	$375.45	$375.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $375.45 / $375.45 / $375.45	Professional		$375.45	$375.45	$375.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $278.24 / $278.24 / $322.86	Facility		$278.24	$278.24	$322.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $278.24 / $278.24 / $322.86	Professional		$278.24	$278.24	$322.86
United Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $512.13 / $816.60	Professional		$279.85	$512.13	$816.60