Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.21 / $241.74 / $827.64	Facility		$45.21	$241.74	$827.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.55 / $258.54 / $635.08	Professional		$206.55	$258.54	$635.08
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $277.44 / $277.44 / $277.44	Professional		$277.44	$277.44	$277.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $241.74 / $284.39 / $8,639.91	Facility		$241.74	$284.39	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $270.18 / $270.18 / $270.18	Professional		$270.18	$270.18	$270.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Facility		$265.58	$265.58	$265.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Professional		$265.58	$265.58	$265.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.23 / $354.56 / $594.33	Facility		$176.23	$354.56	$594.33
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $277.44 / $277.44 / $277.44	Professional		$277.44	$277.44	$277.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $68.64 / $241.74 / $706.09	Facility		$68.64	$241.74	$706.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $205.19 / $267.58 / $717.96	Professional		$205.19	$267.58	$717.96
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Facility		$265.58	$265.58	$265.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Professional		$265.58	$265.58	$265.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $215.42 / $215.42 / $215.42	Facility		$215.42	$215.42	$215.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $215.42 / $215.42 / $215.42	Professional		$215.42	$215.42	$215.42
United Facility/Professional Professional Modifier Low / Median / High Price $237.13 / $284.39 / $355.50	Professional		$237.13	$284.39	$355.50