Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.93 / $100.14 / $169.89	Facility		$42.93	$100.14	$169.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.77 / $117.00 / $323.05	Professional		$90.77	$117.00	$323.05
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $111.38 / $111.38 / $111.38	Professional		$111.38	$111.38	$111.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $98.14 / $115.46 / $8,639.91	Facility		$98.14	$115.46	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $109.69 / $109.69 / $109.69	Professional		$109.69	$109.69	$109.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Facility		$106.62	$106.62	$106.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Professional		$106.62	$106.62	$106.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.77 / $82.03 / $338.08	Facility		$65.77	$82.03	$338.08
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $111.38 / $111.38 / $111.38	Professional		$111.38	$111.38	$111.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $62.91 / $100.14 / $335.06	Facility		$62.91	$100.14	$335.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $116.79 / $323.05	Professional		$87.00	$116.79	$323.05
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Facility		$106.62	$106.62	$106.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Professional		$106.62	$106.62	$106.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $91.28 / $91.28 / $91.28	Facility		$91.28	$91.28	$91.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $91.28 / $91.28	Professional		$91.28	$91.28	$91.28
United Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $115.46 / $144.33	Professional		$96.60	$115.46	$144.33