Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.27 / $75.14 / $1,000.99	Facility		$38.27	$75.14	$1,000.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $56.13 / $144.47	Professional		$48.91	$56.13	$144.47
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $60.81 / $118.04	Professional		$58.60	$60.81	$118.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.14 / $126.27 / $913.42	Facility		$57.14	$126.27	$913.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $106.35 / $273.27	Professional		$47.57	$106.35	$273.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $86.43 / $231.43	Professional		$67.02	$86.43	$231.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $56.74 / $108.35 / $483.83	Facility		$56.74	$108.35	$483.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $56.74 / $144.47	Professional		$48.91	$56.74	$144.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $282.89 / $302.60	Professional		$108.60	$282.89	$302.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $52.80 / $113.76 / $1,151.63	Facility		$52.80	$113.76	$1,151.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $96.97 / $271.54	Professional		$47.57	$96.97	$271.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $57.61 / $57.61 / $229.50	Facility		$57.61	$57.61	$229.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $57.89 / $229.50	Professional		$55.89	$57.89	$229.50
United Facility/Professional Professional Modifier Low / Median / High Price $54.87 / $79.22 / $220.28	Professional		$54.87	$79.22	$220.28