Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $371.54	Professional		$63.10	$107.15	$371.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $117.49 / $117.49 / $117.49	Professional	25	$117.49	$117.49	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $66.07	Professional		$46.77	$54.95	$66.07
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $125.89	Professional		$54.95	$64.57	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $120.23	Professional		$56.23	$72.44	$120.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $107.15	Professional		$93.33	$107.15	$107.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $354.81	Professional		$61.66	$95.50	$354.81
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $117.49 / $117.49 / $117.49	Professional	25	$117.49	$117.49	$117.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $109.65	Professional		$39.81	$39.81	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $134.90	Professional		$66.07	$85.11	$134.90