Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.00 / $714.56 / $1,421.09	Facility		$396.00	$714.56	$1,421.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.49 / $317.60 / $317.60	Professional		$203.49	$317.60	$317.60
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $196.56 / $382.00 / $6,885.09	Facility		$196.56	$382.00	$6,885.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $122.74 / $127.37 / $127.37	Professional		$122.74	$127.37	$127.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.32 / $230.32 / $230.32	Facility		$230.32	$230.32	$230.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $116.76 / $116.76	Professional		$116.76	$116.76	$116.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.74 / $470.72 / $898.00	Facility		$249.74	$470.72	$898.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $182.00 / $262.81 / $6,610.50	Facility		$182.00	$262.81	$6,610.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $736.29 / $1,556.52	Facility		$371.00	$736.29	$1,556.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $181.94 / $317.60 / $317.60	Professional		$181.94	$317.60	$317.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $230.32 / $230.32 / $230.32	Facility		$230.32	$230.32	$230.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $116.76 / $116.76	Professional		$116.76	$116.76	$116.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $22.76 / $22.76 / $22.76	Facility		$22.76	$22.76	$22.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $22.76 / $22.76	Professional		$22.76	$22.76	$22.76
United Facility/Professional Professional Modifier Low / Median / High Price $194.93 / $194.93 / $194.93	Professional		$194.93	$194.93	$194.93