Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,747.63 / $4,987.93 / $15,844.85	Facility		$1,747.63	$4,987.93	$15,844.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,730.31 / $2,101.89 / $8,557.39	Professional		$1,730.31	$2,101.89	$8,557.39
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,812.11 / $2,129.23 / $43,531.57	Facility		$1,812.11	$2,129.23	$43,531.57
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,595.65 / $1,877.24 / $8,639.91	Facility		$1,595.65	$1,877.24	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,795.62 / $1,795.62 / $1,795.62	Professional		$1,795.62	$1,795.62	$1,795.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,632.38 / $1,730.32 / $1,730.32	Facility		$1,632.38	$1,730.32	$1,730.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,730.32	Professional		$1,730.32	$1,730.32	$1,730.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,106.78 / $3,719.08 / $5,168.27	Facility		$1,106.78	$3,719.08	$5,168.27
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,737.10 / $2,129.23 / $41,795.46	Facility		$1,737.10	$2,129.23	$41,795.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,754.47 / $4,890.68 / $15,301.01	Facility		$1,754.47	$4,890.68	$15,301.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,730.31 / $2,228.17 / $7,680.47	Professional		$1,730.31	$2,228.17	$7,680.47
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,632.38 / $1,730.32 / $1,730.32	Facility		$1,632.38	$1,730.32	$1,730.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,730.32	Professional		$1,730.32	$1,730.32	$1,730.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,474.18 / $1,474.18 / $1,710.60	Facility		$1,474.18	$1,474.18	$1,710.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,474.18 / $1,474.18 / $1,710.60	Professional		$1,474.18	$1,474.18	$1,710.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.10 / $1,737.10 / $2,119.26	Facility		$1,737.10	$1,737.10	$2,119.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,834.14 / $2,982.21	Professional		$1,730.32	$1,834.14	$2,982.21