Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.43 / $49.28 / $94.50	Facility		$39.43	$49.28	$94.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $44.91 / $75.51	Professional		$29.26	$44.91	$75.51
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $42.71 / $55.52 / $67.55	Professional	25	$42.71	$55.52	$67.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $53.60 / $60.47	Professional		$53.60	$53.60	$60.47
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $58.43 / $58.43 / $58.43	Professional	25	$58.43	$58.43	$58.43
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 $61.94 / $64.27 / $98.93	Professional		$61.94	$64.27	$98.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $50.66 / $83.54	Professional		$35.11	$50.66	$83.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $94.24 / $94.24 / $94.24	Professional		$94.24	$94.24	$94.24
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $58.59 / $58.59 / $62.44	Professional	25	$58.59	$58.59	$62.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $39.43 / $49.28 / $1,812.00	Facility		$39.43	$49.28	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $49.67 / $78.86	Professional		$32.18	$49.67	$78.86
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $42.71 / $55.52 / $67.55	Professional	25	$42.71	$55.52	$67.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $52.22 / $79.83	Professional		$35.11	$52.22	$79.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.43 / $49.32 / $60.70	Facility		$35.43	$49.32	$60.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $51.30 / $63.83	Professional		$35.43	$51.30	$63.83
United Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $51.24 / $80.93	Professional		$36.56	$51.24	$80.93