Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.69 / $71.59 / $126.12	Facility		$44.69	$71.59	$126.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $96.58 / $125.00	Professional		$69.00	$96.58	$125.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $100.89 / $100.89 / $100.89	Professional		$100.89	$100.89	$100.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $87.83 / $103.33 / $8,639.91	Facility		$87.83	$103.33	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Professional		$98.16	$98.16	$98.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.99 / $65.13 / $410.44	Facility		$32.99	$65.13	$410.44
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $100.89	Professional		$98.16	$98.16	$100.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $94.61 / $304.01	Facility		$47.05	$94.61	$304.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $98.15 / $125.00	Professional		$69.00	$98.15	$125.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $69.94 / $71.34 / $81.16	Facility		$69.94	$71.34	$81.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.94 / $69.94 / $81.16	Professional		$69.94	$69.94	$81.16
United Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $103.33 / $140.82	Professional		$86.23	$103.33	$140.82