Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $37.15 / $1,862.09	Facility		$26.92	$37.15	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.15 / $75.86	Professional		$25.12	$37.15	$75.86
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.15 / $37.15 / $51.29	Professional	25	$37.15	$37.15	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $53.70	Professional		$37.15	$45.71	$53.70
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $44.67 / $44.67 / $44.67	Professional	25	$44.67	$44.67	$44.67
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 $41.69 / $48.98 / $79.43	Professional		$41.69	$48.98	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $64.57	Professional		$30.20	$42.66	$64.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $83.18	Professional		$36.31	$39.81	$83.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $46.77 / $47.86	Professional		$44.67	$46.77	$47.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $47.86 / $1,862.09	Facility		$26.92	$47.86	$1,862.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $85.11	Professional		$26.92	$38.90	$85.11
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $37.15 / $37.15 / $51.29	Professional	25	$37.15	$37.15	$51.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $25.70 / $45.71	Facility		$6.61	$25.70	$45.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $25.70 / $45.71	Professional		$12.30	$25.70	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $63.10	Professional		$28.84	$40.74	$63.10