Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.12 / $276.86 / $394.74	Facility		$114.12	$276.86	$394.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $124.60 / $174.41	Professional		$84.00	$124.60	$174.41
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $182.62 / $3,865.51	Facility		$155.41	$182.62	$3,865.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $113.76 / $133.84 / $8,639.91	Facility		$113.76	$133.84	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $128.02 / $128.02 / $128.02	Professional		$128.02	$128.02	$128.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.38 / $123.36 / $123.36	Facility		$116.38	$123.36	$123.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $287.72 / $420.20	Facility		$65.88	$287.72	$420.20
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $177.37 / $3,711.34	Facility		$155.41	$177.37	$3,711.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $94.36 / $247.78 / $421.70	Facility		$94.36	$247.78	$421.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $115.47 / $137.33 / $413.35	Professional		$115.47	$137.33	$413.35
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $116.38 / $123.36 / $123.36	Facility		$116.38	$123.36	$123.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $123.09 / $123.09 / $142.83	Facility		$123.09	$123.09	$142.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.09 / $123.09 / $142.83	Professional		$123.09	$123.09	$142.83
United Facility/Professional Facility Modifier Low / Median / High Price $135.97 / $135.97 / $135.97	Facility		$135.97	$135.97	$135.97
United Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $212.61	Professional		$123.36	$123.36	$212.61