Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.47 / $49.73 / $75.54	Facility		$21.47	$49.73	$75.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $14.81 / $27.43	Professional		$12.27	$14.81	$27.43
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $147.35 / $147.35 / $147.35	Facility		$147.35	$147.35	$147.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $66.66 / $86.56 / $8,639.91	Facility		$66.66	$86.56	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $14.27 / $14.27	Professional		$14.27	$14.27	$14.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $23.77 / $60.85	Facility		$11.89	$23.77	$60.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $9.61 / $19.13	Professional		$9.61	$9.61	$19.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $10.79 / $24.76	Professional		$8.41	$10.79	$24.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $49.05 / $65.77	Facility		$36.56	$49.05	$65.77
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $147.35 / $147.35 / $186.68	Facility		$147.35	$147.35	$186.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.47 / $47.80 / $75.54	Facility		$21.47	$47.80	$75.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $16.41 / $75.54	Professional		$12.69	$16.41	$75.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $23.78 / $60.85	Facility		$11.89	$23.78	$60.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $9.61 / $19.13	Professional		$9.61	$9.61	$19.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $10.97 / $31.09	Professional		$7.68	$10.97	$31.09