Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $180.15 / $535.33	Facility		$47.60	$180.15	$535.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $180.00 / $323.26	Professional		$144.00	$180.00	$323.26
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $195.10 / $195.10 / $195.10	Professional		$195.10	$195.10	$195.10
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $199.95 / $8,639.91	Facility		$169.96	$199.95	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $189.95 / $189.95 / $189.95	Professional		$189.95	$189.95	$189.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Facility		$186.76	$186.76	$186.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Professional		$186.76	$186.76	$186.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.86 / $205.95 / $573.61	Facility		$56.86	$205.95	$573.61
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $195.10 / $195.10 / $195.10	Professional		$195.10	$195.10	$195.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $169.96 / $535.33	Facility		$47.60	$169.96	$535.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $180.00 / $323.26	Professional		$124.50	$180.00	$323.26
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Facility		$186.76	$186.76	$186.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Professional		$186.76	$186.76	$186.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $146.94 / $146.94 / $146.94	Facility		$146.94	$146.94	$146.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $146.94 / $146.94	Professional		$146.94	$146.94	$146.94
United Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $199.95 / $249.94	Professional		$166.75	$199.95	$249.94