Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.54 / $228.62 / $322.18	Facility		$114.54	$228.62	$322.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $243.41 / $642.04	Professional		$114.54	$243.41	$642.04
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $155.22 / $155.22	Professional		$155.22	$155.22	$155.22
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $105.62 / $124.26 / $8,639.91	Facility		$105.62	$124.26	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $118.86 / $118.86 / $118.86	Professional		$118.86	$118.86	$118.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.05 / $114.54 / $114.54	Facility		$108.05	$114.54	$114.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $97.70 / $155.22	Professional		$97.70	$97.70	$155.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $98.67 / $242.30 / $689.50	Facility		$98.67	$242.30	$689.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $245.82 / $470.24	Professional		$114.54	$245.82	$470.24
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $108.05 / $114.54 / $114.54	Facility		$108.05	$114.54	$114.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $123.64 / $123.64 / $143.47	Facility		$123.64	$123.64	$143.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.64 / $123.64 / $143.47	Professional		$123.64	$123.64	$143.47
United Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $209.61	Professional		$114.54	$114.54	$209.61