Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $142.79 / $419.85	Facility		$84.49	$142.79	$419.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $87.90 / $244.00	Professional		$84.48	$87.90	$244.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $96.91 / $96.91 / $96.91	Professional		$96.91	$96.91	$96.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $102.02 / $120.02 / $8,639.91	Facility		$102.02	$120.02	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $120.02 / $120.02 / $120.02	Professional		$120.02	$120.02	$120.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Facility		$92.77	$92.77	$92.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Professional		$92.77	$92.77	$92.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.16 / $208.48 / $397.52	Facility		$130.16	$208.48	$397.52
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $96.91 / $96.91 / $96.91	Professional		$96.91	$96.91	$96.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $105.30 / $376.38	Facility		$84.49	$105.30	$376.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $84.49 / $92.93 / $250.93	Professional		$84.49	$92.93	$250.93
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Facility		$92.77	$92.77	$92.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Professional		$92.77	$92.77	$92.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $148.74 / $148.74 / $148.74	Facility		$148.74	$148.74	$148.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $148.74 / $148.74 / $148.74	Professional		$148.74	$148.74	$148.74
United Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $130.53 / $151.58	Professional		$82.83	$130.53	$151.58