Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.10 / $149.83 / $190.28	Facility		$58.10	$149.83	$190.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.29 / $158.44 / $302.32	Professional		$137.29	$158.44	$302.32
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $172.01 / $172.01 / $172.01	Professional		$172.01	$172.01	$172.01
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $149.83 / $176.27 / $8,639.91	Facility		$149.83	$176.27	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $167.46 / $167.46 / $167.46	Professional		$167.46	$167.46	$167.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Facility		$164.66	$164.66	$164.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Professional		$164.66	$164.66	$164.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.75 / $165.07 / $227.05	Facility		$53.75	$165.07	$227.05
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $172.01 / $172.01 / $172.01	Professional		$172.01	$172.01	$172.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $58.10 / $149.83 / $253.21	Facility		$58.10	$149.83	$253.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $109.70 / $156.09 / $282.77	Professional		$109.70	$156.09	$282.77
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Facility		$164.66	$164.66	$164.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Professional		$164.66	$164.66	$164.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $135.97 / $135.97 / $135.97	Facility		$135.97	$135.97	$135.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $135.97 / $135.97 / $135.97	Professional		$135.97	$135.97	$135.97
United Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $176.27 / $240.10	Professional		$147.02	$176.27	$240.10