Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.33 / $257.99 / $714.63	Facility		$98.33	$257.99	$714.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.49 / $290.00 / $510.82	Professional		$235.49	$290.00	$510.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $264.92 / $264.92 / $264.92	Professional		$264.92	$264.92	$264.92
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $230.83 / $271.57 / $8,639.91	Facility		$230.83	$271.57	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $257.99 / $257.99	Professional		$257.99	$257.99	$257.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Facility		$253.60	$253.60	$253.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Professional		$253.60	$253.60	$253.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.17 / $95.17 / $95.17	Facility		$95.17	$95.17	$95.17
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $264.92 / $264.92 / $264.92	Professional		$264.92	$264.92	$264.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $257.99 / $873.79	Facility		$96.00	$257.99	$873.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $231.65 / $288.00 / $510.82	Professional		$231.65	$288.00	$510.82
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Facility		$253.60	$253.60	$253.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Professional		$253.60	$253.60	$253.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $263.14 / $299.36	Facility		$257.99	$263.14	$299.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $257.99 / $299.36	Professional		$257.99	$257.99	$299.36
United Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $271.57 / $339.46	Professional		$257.99	$271.57	$339.46