Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.24 / $28.24 / $43.20	Facility		$28.24	$28.24	$43.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $37.68 / $52.66	Professional		$26.10	$37.68	$52.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $45.01 / $78.77	Professional		$43.38	$45.01	$78.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.58 / $47.58 / $47.58	Facility		$47.58	$47.58	$47.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $47.57 / $79.52	Professional		$30.01	$47.57	$79.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.96 / $67.25 / $88.03	Professional		$50.96	$67.25	$88.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.24 / $28.24 / $43.20	Facility		$28.24	$28.24	$43.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $40.99 / $75.59	Professional		$26.82	$40.99	$75.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.90 / $61.90 / $108.20	Professional		$61.90	$61.90	$108.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $47.58 / $47.58 / $47.58	Facility		$47.58	$47.58	$47.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $47.57 / $80.68	Professional		$29.98	$47.57	$80.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $33.15 / $48.96	Facility		$27.18	$33.15	$48.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $40.60 / $43.88	Professional		$27.18	$40.60	$43.88
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $54.43 / $84.76	Professional		$42.00	$54.43	$84.76