Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $261.14 / $689.44	Facility		$261.14	$261.14	$689.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.20 / $300.00 / $772.00	Professional		$246.20	$300.00	$772.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $268.16 / $268.16 / $281.52	Professional		$268.16	$268.16	$281.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $233.66 / $274.89 / $8,639.91	Facility		$233.66	$274.89	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $261.14 / $261.14	Professional		$261.14	$261.14	$261.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.49 / $269.49 / $269.49	Facility		$269.49	$269.49	$269.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.49 / $269.49 / $269.49	Professional		$269.49	$269.49	$269.49
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $268.16 / $268.16 / $281.52	Professional		$268.16	$268.16	$281.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $261.14 / $689.44	Facility		$261.14	$261.14	$689.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $246.20 / $297.70 / $876.23	Professional		$246.20	$297.70	$876.23
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $269.49 / $269.49 / $269.49	Facility		$269.49	$269.49	$269.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $269.49 / $269.49 / $269.49	Professional		$269.49	$269.49	$269.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $246.20 / $246.20 / $285.68	Facility		$246.20	$246.20	$285.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $246.20 / $246.20 / $285.68	Professional		$246.20	$246.20	$285.68
United Facility/Professional Professional Modifier Low / Median / High Price $240.62 / $288.60 / $360.75	Professional		$240.62	$288.60	$360.75