Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.58 / $192.86 / $343.14	Facility		$82.58	$192.86	$343.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.83 / $126.48 / $227.37	Professional		$81.83	$126.48	$227.37
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $98.36 / $6,547.27	Facility		$83.71	$98.36	$6,547.27
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $81.52 / $81.52	Professional		$81.52	$81.52	$81.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $76.15 / $89.59 / $8,639.91	Facility		$76.15	$89.59	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $85.69 / $85.69 / $85.69	Professional		$85.69	$85.69	$85.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.90 / $82.57 / $82.57	Facility		$77.90	$82.57	$82.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $82.57 / $82.57	Professional		$82.57	$82.57	$82.57
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.40 / $284.37 / $406.74	Facility		$212.40	$284.37	$406.74
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $95.53 / $6,286.15	Facility		$83.71	$95.53	$6,286.15
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $81.52 / $81.52	Professional		$81.52	$81.52	$81.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $105.73 / $208.81 / $398.25	Facility		$105.73	$208.81	$398.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $137.38 / $250.56	Professional		$82.58	$137.38	$250.56
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $77.90 / $82.57 / $82.57	Facility		$77.90	$82.57	$82.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $82.57 / $82.57	Professional		$82.57	$82.57	$82.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $81.77 / $81.77 / $94.89	Facility		$81.77	$81.77	$94.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $81.77 / $94.89	Professional		$81.77	$81.77	$94.89
United Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $114.04	Professional		$82.58	$82.58	$114.04