Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $47.64 / $204.06	Facility		$37.72	$47.64	$204.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $54.03 / $147.09	Professional		$41.34	$54.03	$147.09
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $52.33 / $52.33	Professional		$52.33	$52.33	$52.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $45.50 / $53.53 / $8,639.91	Facility		$45.50	$53.53	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $50.85 / $50.85	Professional		$50.85	$50.85	$50.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Facility		$50.10	$50.10	$50.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Professional		$50.10	$50.10	$50.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $42.77 / $165.73	Facility		$42.77	$42.77	$165.73
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $52.33 / $52.33	Professional		$52.33	$52.33	$52.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $37.02 / $47.64 / $214.11	Facility		$37.02	$47.64	$214.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $53.60 / $141.49	Professional		$41.34	$53.60	$141.49
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Facility		$50.10	$50.10	$50.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Professional		$50.10	$50.10	$50.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $41.34 / $41.34 / $41.34	Facility		$41.34	$41.34	$41.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $41.34 / $41.34	Professional		$41.34	$41.34	$41.34
United Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $53.53 / $64.23	Professional		$44.73	$53.53	$64.23