Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $58.47 / $219.98	Facility		$33.47	$58.47	$219.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $30.10 / $37.50	Professional		$24.48	$30.10	$37.50
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 $31.62 / $32.81 / $54.41	Professional		$31.62	$32.81	$54.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $64.86 / $215.83	Facility		$30.33	$64.86	$215.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $36.86 / $60.34	Professional		$24.82	$36.86	$60.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $42.30 / $51.01	Professional		$31.57	$42.30	$51.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $60.21 / $132.21	Facility		$33.47	$60.21	$132.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $32.40 / $59.26	Professional		$27.09	$32.40	$59.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $32.50 / $78.98	Professional		$20.81	$32.50	$78.98
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $60.42 / $260.37	Facility		$28.97	$60.42	$260.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $36.78 / $57.72	Professional		$24.88	$36.78	$57.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $31.71 / $31.71	Facility		$26.50	$31.71	$31.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $31.71 / $34.35	Professional		$26.50	$31.71	$34.35
United Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $33.92 / $61.30	Professional		$24.63	$33.92	$61.30