Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.44 / $1,236.88 / $1,606.88	Facility		$544.44	$1,236.88	$1,606.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $662.30 / $1,819.80	Professional		$636.59	$662.30	$1,819.80
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $836.02 / $836.02 / $836.02	Professional		$836.02	$836.02	$836.02
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $587.04 / $690.64 / $8,639.91	Facility		$587.04	$690.64	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $660.61 / $660.61 / $660.61	Professional		$660.61	$660.61	$660.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.55 / $636.59 / $636.59	Facility		$600.55	$636.59	$636.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $836.02 / $836.02 / $836.02	Professional		$836.02	$836.02	$836.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $533.86 / $1,236.88 / $1,606.88	Facility		$533.86	$1,236.88	$1,606.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $533.86 / $784.86 / $1,819.80	Professional		$533.86	$784.86	$1,819.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $600.55 / $636.59 / $636.59	Facility		$600.55	$636.59	$636.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $712.18 / $712.18 / $826.40	Facility		$712.18	$712.18	$826.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $712.18 / $712.18 / $826.40	Professional		$712.18	$712.18	$826.40
United Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $1,164.96	Professional		$636.59	$636.59	$1,164.96