Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.96 / $43.96 / $87.04	Facility		$43.96	$43.96	$87.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $74.15 / $94.15	Professional		$39.82	$74.15	$94.15
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 $87.83 / $91.15 / $152.97	Professional		$87.83	$91.15	$152.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $74.72 / $74.72	Facility		$74.72	$74.72	$74.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.21 / $82.86 / $152.24	Professional		$44.21	$82.86	$152.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.06 / $143.08 / $183.20	Professional		$106.06	$143.08	$183.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $43.96 / $43.96 / $87.04	Facility		$43.96	$43.96	$87.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.88 / $76.59 / $152.32	Professional		$40.88	$76.59	$152.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $183.80	Professional		$86.70	$86.70	$183.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $74.72 / $74.72	Facility		$74.72	$74.72	$74.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $44.49 / $84.15 / $152.82	Professional		$44.49	$84.15	$152.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.52 / $49.89 / $82.99	Facility		$42.52	$49.89	$82.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $76.30 / $89.40	Professional		$42.52	$76.30	$89.40
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 $71.30 / $98.57 / $157.88	Professional		$71.30	$98.57	$157.88