Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $66.07 / $1,862.09	Facility		$58.88	$66.07	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $100.00	Professional		$60.26	$70.79	$100.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	25	$229.09	$229.09	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $87.10	Professional		$66.07	$79.43	$87.10
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $72.44 / $72.44 / $79.43	Professional	25	$72.44	$72.44	$79.43
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 $74.13 / $87.10 / $144.54	Professional		$74.13	$87.10	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $134.90	Professional		$70.79	$93.33	$134.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $147.91	Professional		$66.07	$83.18	$147.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $102.33 / $1,862.09	Facility		$58.88	$102.33	$1,862.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $147.91	Professional		$61.66	$75.86	$147.91
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	25	$229.09	$229.09	$229.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $83.18 / $85.11	Facility		$74.13	$83.18	$85.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $83.18 / $389.05	Professional		$44.67	$83.18	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $151.36	Professional		$69.18	$95.50	$151.36