Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.27 / $66.11 / $128.27	Facility		$59.27	$66.11	$128.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.07 / $67.12 / $90.80	Professional		$60.07	$67.12	$90.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.75 / $67.75 / $79.70	Professional		$67.75	$67.75	$79.70
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $72.68 / $72.68 / $72.68	Professional	25	$72.68	$72.68	$72.68
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 $84.48 / $87.67 / $143.88	Professional		$84.48	$87.67	$143.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $89.64 / $130.41	Professional		$70.16	$89.64	$130.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $127.74 / $127.74 / $127.74	Professional		$127.74	$127.74	$127.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $59.27 / $66.11 / $1,812.00	Facility		$59.27	$66.11	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $71.20 / $114.93	Professional		$60.62	$71.20	$114.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $70.58 / $91.91 / $130.41	Professional		$70.58	$91.91	$130.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $82.67 / $90.49	Facility		$73.81	$82.67	$90.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $82.67 / $90.49	Professional		$73.81	$82.67	$90.49
United Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $98.59 / $162.21	Professional		$69.84	$98.59	$162.21