Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $91.20	Professional		$70.79	$87.10	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $61.66 / $69.18	Professional		$57.54	$61.66	$69.18
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 $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $100.00	Professional		$79.43	$79.43	$100.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $87.10	Professional		$70.79	$87.10	$87.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $87.10	Professional		$14.13	$14.13	$87.10