Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.60 / $164.60 / $278.17	Facility		$164.60	$164.60	$278.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.01 / $189.43 / $354.40	Professional		$154.01	$189.43	$354.40
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $183.25 / $183.25 / $183.25	Professional		$183.25	$183.25	$183.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $159.03 / $187.09 / $8,639.91	Facility		$159.03	$187.09	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $177.74 / $177.74 / $177.74	Professional		$177.74	$177.74	$177.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Facility		$175.41	$175.41	$175.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Professional		$175.41	$175.41	$175.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.07 / $104.95 / $232.11	Facility		$101.07	$104.95	$232.11
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $183.25 / $183.25 / $183.25	Professional		$183.25	$183.25	$183.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $164.60 / $164.60 / $278.17	Facility		$164.60	$164.60	$278.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $189.43 / $354.40	Professional		$150.00	$189.43	$354.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Facility		$175.41	$175.41	$175.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Professional		$175.41	$175.41	$175.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $148.76 / $148.76 / $148.76	Facility		$148.76	$148.76	$148.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $148.76 / $148.76 / $148.76	Professional		$148.76	$148.76	$148.76
United Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $187.09 / $224.51	Professional		$156.69	$187.09	$224.51