Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $70.79 / $1,862.09	Facility		$63.10	$70.79	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $93.33	Professional		$60.26	$72.44	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $138.04	Professional		$74.13	$87.10	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $131.83	Professional		$69.18	$93.33	$131.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $144.54	Professional		$64.57	$81.28	$144.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $1,862.09	Facility		$63.10	$100.00	$1,862.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $141.25	Professional		$61.66	$74.13	$141.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $79.43 / $758.58	Facility		$28.84	$79.43	$758.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $81.28 / $407.38	Professional		$8.91	$81.28	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $147.91	Professional		$69.18	$93.33	$147.91