Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $234.42	Facility		$190.55	$190.55	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $239.88 / $436.52	Professional		$123.03	$239.88	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $234.42 / $338.84	Professional		$75.86	$234.42	$338.84
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 $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $234.42	Facility		$190.55	$190.55	$234.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $316.23	Professional		$138.04	$234.42	$316.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $239.88 / $316.23	Facility		$50.12	$239.88	$316.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $239.88 / $316.23	Professional		$50.12	$239.88	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $436.52	Professional		$165.96	$263.03	$436.52