Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $48.98 / $102.33	Facility		$38.90	$48.98	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $48.98 / $89.13	Professional		$30.20	$48.98	$89.13
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $42.66 / $54.95 / $67.61	Professional	25	$42.66	$54.95	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $70.79	Professional		$47.86	$58.88	$70.79
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $50.12 / $58.88 / $64.57	Professional	25	$50.12	$58.88	$64.57
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 $54.95 / $64.57 / $100.00	Professional		$54.95	$64.57	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $85.11	Professional		$35.48	$51.29	$85.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $109.65	Professional		$41.69	$53.70	$109.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $63.10 / $63.10	Professional		$58.88	$63.10	$63.10
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $63.10 / $63.10 / $63.10	Professional	25	$63.10	$63.10	$63.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $52.48 / $1,862.09	Facility		$38.90	$52.48	$1,862.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $97.72	Professional		$30.90	$50.12	$97.72
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $42.66 / $54.95 / $67.61	Professional	25	$42.66	$54.95	$67.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $48.98 / $60.26	Facility		$35.48	$48.98	$60.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $51.29 / $117.49	Professional		$15.14	$51.29	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $295.12 / $363.08	Facility		$141.25	$295.12	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $75.86	Professional		$32.36	$45.71	$75.86