Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.86 / $103.69 / $206.18	Facility		$70.86	$103.69	$206.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.30 / $82.35 / $129.25	Professional		$52.30	$82.35	$129.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $145.34 / $145.34 / $145.34	Professional	25	$145.34	$145.34	$145.34
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 $131.24 / $138.94 / $210.07	Professional		$131.24	$138.94	$210.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $109.03 / $185.97	Professional		$72.19	$109.03	$185.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.26 / $207.26 / $207.26	Professional		$207.26	$207.26	$207.26
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $132.63 / $132.63 / $132.63	Professional	25	$132.63	$132.63	$132.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $70.86 / $103.69 / $1,812.00	Facility		$70.86	$103.69	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $92.87 / $151.57	Professional		$62.33	$92.87	$151.57
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $145.34 / $145.34 / $145.34	Professional	25	$145.34	$145.34	$145.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $111.74 / $185.97	Professional		$77.06	$111.74	$185.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $56.96 / $88.73 / $128.25	Facility		$56.96	$88.73	$128.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $56.96 / $98.96 / $135.77	Professional		$56.96	$98.96	$135.77
United Facility/Professional Professional Modifier Low / Median / High Price $76.28 / $111.11 / $173.37	Professional		$76.28	$111.11	$173.37