Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.29 / $45.93 / $45.93	Facility		$42.29	$45.93	$45.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $46.40 / $58.27	Professional		$42.29	$46.40	$58.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $66.93 / $93.67	Professional		$41.60	$66.93	$93.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $65.93 / $106.68	Professional		$47.55	$65.93	$106.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.27 / $71.67 / $72.09	Professional		$54.27	$71.67	$72.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $45.93 / $45.93 / $45.93	Facility		$45.93	$45.93	$45.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $47.06 / $83.44	Professional		$42.29	$47.06	$83.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $98.00 / $117.10	Professional		$80.80	$98.00	$117.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $68.58 / $109.15	Professional		$48.88	$68.58	$109.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $44.22 / $44.22 / $44.22	Facility		$44.22	$44.22	$44.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.22 / $44.22 / $44.22	Professional		$44.22	$44.22	$44.22
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $58.75 / $98.27	Professional		$46.65	$58.75	$98.27