Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $2,052.71 / $5,331.85	Facility		$1,214.63	$2,052.71	$5,331.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $1,214.63 / $1,880.00	Professional		$975.00	$1,214.63	$1,880.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,032.44 / $1,214.63 / $8,459.92	Facility		$1,032.44	$1,214.63	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,214.63	Professional		$1,214.63	$1,214.63	$1,214.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,166.05 / $1,457.56 / $1,457.56	Professional		$1,166.05	$1,457.56	$1,457.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,399.94 / $2,660.65 / $5,612.39	Facility		$1,399.94	$2,660.65	$5,612.39
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,985.19 / $5,331.85	Facility		$1,214.63	$1,985.19	$5,331.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,032.80 / $1,214.63 / $2,068.51	Professional		$1,032.80	$1,214.63	$2,068.51
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,238.93 / $1,518.28	Professional		$1,214.63	$1,238.93	$1,518.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,245.43 / $1,245.43 / $1,245.43	Facility		$1,245.43	$1,245.43	$1,245.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,245.43 / $1,245.43 / $1,270.33	Professional		$1,245.43	$1,245.43	$1,270.33
United Facility/Professional Professional Modifier Low / Median / High Price $485.85 / $1,214.63 / $1,518.29	Professional		$485.85	$1,214.63	$1,518.29