Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.17 / $107.71 / $1,313.07	Facility		$62.17	$107.71	$1,313.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $55.41 / $69.90	Professional		$39.51	$55.41	$69.90
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 $59.33 / $61.57 / $97.03	Professional		$59.33	$61.57	$97.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.41 / $119.73 / $1,314.57	Facility		$54.41	$119.73	$1,314.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $62.53 / $107.83	Professional		$43.82	$62.53	$107.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $79.34 / $95.32	Professional		$53.27	$79.34	$95.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $62.17 / $109.70 / $497.38	Facility		$62.17	$109.70	$497.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $49.48 / $59.26 / $110.93	Professional		$49.48	$59.26	$110.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $56.80 / $146.36	Professional		$38.79	$56.80	$146.36
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $44.98 / $113.19 / $1,555.35	Facility		$44.98	$113.19	$1,555.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $62.53 / $104.87	Professional		$44.24	$62.53	$104.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $46.50 / $59.24 / $59.24	Facility		$46.50	$59.24	$59.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $59.24 / $64.20	Professional		$46.50	$59.24	$64.20
United Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $58.19 / $102.43	Professional		$42.13	$58.19	$102.43