Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.01 / $47.12 / $89.90	Facility		$40.01	$47.12	$89.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.01 / $47.55 / $60.64	Professional		$40.01	$47.55	$60.64
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $82.34 / $82.34 / $82.34	Professional	25	$82.34	$82.34	$82.34
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 $59.07 / $61.30 / $96.41	Professional		$59.07	$61.30	$96.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $66.88 / $95.09	Professional		$47.25	$66.88	$95.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.51 / $89.51 / $89.51	Professional		$89.51	$89.51	$89.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $40.01 / $47.12 / $1,812.00	Facility		$40.01	$47.12	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $47.59 / $72.63	Professional		$40.35	$47.59	$72.63
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $82.34 / $82.34 / $82.34	Professional	25	$82.34	$82.34	$82.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $47.37 / $67.28 / $95.09	Professional		$47.37	$67.28	$95.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $49.32 / $56.14 / $65.44	Facility		$49.32	$56.14	$65.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.32 / $56.81 / $65.44	Professional		$49.32	$56.81	$65.44
United Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $74.65 / $115.05	Professional		$56.87	$74.65	$115.05