Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $87.45 / $116.61	Facility		$79.20	$87.45	$116.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $98.09 / $173.04	Professional		$78.48	$98.09	$173.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.37 / $109.37 / $109.37	Professional		$109.37	$109.37	$109.37
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 $106.24 / $124.99 / $191.51	Professional		$106.24	$124.99	$191.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $105.23 / $160.55	Professional		$72.92	$105.23	$160.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $85.55 / $116.61	Facility		$79.20	$85.55	$116.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $79.27 / $107.90 / $203.00	Professional		$79.27	$107.90	$203.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $122.62 / $175.30	Professional		$72.48	$122.62	$175.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $99.52 / $107.25 / $128.18	Facility		$99.52	$107.25	$128.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $99.52 / $107.25 / $128.18	Professional		$99.52	$107.25	$128.18
United Facility/Professional Professional Modifier Low / Median / High Price $91.19 / $111.68 / $170.06	Professional		$91.19	$111.68	$170.06