Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.44 / $49.44 / $68.93	Facility		$49.44	$49.44	$68.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.68 / $49.44 / $68.93	Professional		$35.68	$49.44	$68.93
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $54.29 / $54.29 / $54.29	Professional	25	$54.29	$54.29	$54.29
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 $61.93 / $64.26 / $113.05	Professional		$61.93	$64.26	$113.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $55.95	Professional		$55.95	$55.95	$55.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.21 / $95.21 / $95.21	Professional		$95.21	$95.21	$95.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $49.44 / $49.44 / $68.93	Facility		$49.44	$49.44	$68.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $53.78 / $72.09	Professional		$38.72	$53.78	$72.09
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $54.29 / $54.29 / $54.29	Professional	25	$54.29	$54.29	$54.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $55.95	Professional		$55.95	$55.95	$55.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $43.02 / $49.99 / $68.05	Facility		$43.02	$49.99	$68.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $58.56 / $68.05	Professional		$43.02	$58.56	$68.05
United Facility/Professional Professional Modifier Low / Median / High Price $54.77 / $70.77 / $116.71	Professional		$54.77	$70.77	$116.71