Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.60 / $211.34 / $302.32	Facility		$208.60	$211.34	$302.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $211.34 / $355.55	Professional		$160.00	$211.34	$355.55
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $242.56 / $242.56 / $242.56	Professional		$242.56	$242.56	$242.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $211.34 / $248.63 / $8,639.91	Facility		$211.34	$248.63	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $236.20 / $236.20 / $236.20	Professional		$236.20	$236.20	$236.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Facility		$232.20	$232.20	$232.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Professional		$232.20	$232.20	$232.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.35 / $190.35 / $345.04	Facility		$190.35	$190.35	$345.04
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $242.56 / $242.56 / $242.56	Professional		$242.56	$242.56	$242.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $211.34 / $211.34 / $357.17	Facility		$211.34	$211.34	$357.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $129.60 / $211.34 / $396.94	Professional		$129.60	$211.34	$396.94
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Facility		$232.20	$232.20	$232.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Professional		$232.20	$232.20	$232.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $183.18 / $183.18 / $183.18	Facility		$183.18	$183.18	$183.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $183.18 / $183.18 / $183.18	Professional		$183.18	$183.18	$183.18
United Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $248.63 / $310.79	Professional		$207.32	$248.63	$310.79