Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $23.40 / $54.44	Facility		$23.40	$23.40	$54.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $46.86 / $69.97	Professional		$23.36	$46.86	$69.97
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 $54.96 / $57.04 / $90.02	Professional		$54.96	$57.04	$90.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $54.34 / $102.63	Professional		$28.76	$54.34	$102.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $88.05 / $89.90	Professional		$66.38	$88.05	$89.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $23.40 / $54.44	Facility		$23.40	$23.40	$54.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $49.95 / $106.70	Professional		$24.93	$49.95	$106.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $66.20 / $159.60	Professional		$3.00	$66.20	$159.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $54.52 / $102.63	Professional		$29.52	$54.52	$102.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.41 / $32.69 / $58.34	Facility		$25.41	$32.69	$58.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $55.32 / $60.62	Professional		$25.41	$55.32	$60.62
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 $50.50 / $63.95 / $105.21	Professional		$50.50	$63.95	$105.21