Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.08 / $509.31 / $989.97	Facility		$264.08	$509.31	$989.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.68 / $386.15 / $753.00	Professional		$313.68	$386.15	$753.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $338.77 / $518.89 / $3,530.76	Facility		$338.77	$518.89	$3,530.76
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $316.93 / $372.86 / $8,639.91	Facility		$316.93	$372.86	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $334.39 / $334.39 / $334.39	Professional		$334.39	$334.39	$334.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.92 / $486.76 / $486.76	Facility		$295.92	$486.76	$486.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.76 / $486.76 / $486.76	Professional		$486.76	$486.76	$486.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.44 / $742.71 / $1,121.41	Facility		$356.44	$742.71	$1,121.41
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $313.68 / $441.61 / $3,389.95	Facility		$313.68	$441.61	$3,389.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $271.25 / $650.08 / $1,026.66	Facility		$271.25	$650.08	$1,026.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $312.02 / $386.15 / $794.49	Professional		$312.02	$386.15	$794.49
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $295.92 / $486.76 / $486.76	Facility		$295.92	$486.76	$486.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $486.76 / $486.76 / $486.76	Professional		$486.76	$486.76	$486.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $355.22 / $355.22 / $412.19	Facility		$355.22	$355.22	$412.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $355.22 / $355.22 / $412.19	Professional		$355.22	$355.22	$412.19
United Facility/Professional Professional Modifier Low / Median / High Price $340.89 / $426.11 / $623.83	Professional		$340.89	$426.11	$623.83