Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $70.70 / $318.00	Professional		$20.57	$70.70	$318.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $35.76 / $35.76	Professional		$35.76	$35.76	$35.76
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $21.37 / $38.58	Professional		$18.16	$21.37	$38.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $22.21 / $34.35	Professional		$18.11	$22.21	$34.35
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $35.76 / $35.76	Professional		$35.76	$35.76	$35.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $64.42 / $318.00	Professional		$21.06	$64.42	$318.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $28.07 / $34.35	Professional		$18.68	$28.07	$34.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $19.69 / $31.07	Professional		$19.69	$19.69	$31.07
United Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $26.61 / $40.58	Professional		$20.26	$26.61	$40.58