Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.42 / $30.00	Facility		$0.17	$0.42	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.17 / $1.30	Professional		$0.17	$0.17	$1.30
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.24 / $629.30	Facility		$0.20	$0.24	$629.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.18 / $8,459.92	Facility		$0.15	$0.18	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.18	Professional		$0.18	$0.18	$0.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.16 / $0.17 / $0.36	Facility		$0.16	$0.17	$0.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.17 / $0.36	Professional		$0.17	$0.17	$0.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.69 / $0.86	Professional		$0.15	$0.69	$0.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $4.70 / $7.45	Facility		$0.25	$4.70	$7.45
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.23 / $604.21	Facility		$0.20	$0.23	$604.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.16 / $0.49 / $43.15	Facility		$0.16	$0.49	$43.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.19 / $1.13	Professional		$0.16	$0.19	$1.13
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.16 / $0.17 / $0.36	Facility		$0.16	$0.17	$0.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.17 / $0.36	Professional		$0.15	$0.17	$0.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $0.18 / $0.21	Facility		$0.18	$0.18	$0.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.21	Professional		$0.18	$0.18	$0.21
United Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.17 / $0.31	Professional		$0.07	$0.17	$0.31