Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $46.59 / $120.00	Professional		$13.95	$46.59	$120.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $22.44 / $22.44	Professional		$22.44	$22.44	$22.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $12.11 / $24.18	Professional		$10.29	$12.11	$24.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $16.54 / $24.32	Professional		$11.29	$16.54	$24.32
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $22.44 / $22.44	Professional		$22.44	$22.44	$22.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $41.03 / $116.00	Professional		$13.30	$41.03	$116.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $19.79 / $24.32	Professional		$11.29	$19.79	$24.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $12.21 / $31.26	Professional		$12.21	$12.21	$31.26
United Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $18.28 / $26.07	Professional		$12.65	$18.28	$26.07