Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.07 / $36.04 / $95.06	Facility		$29.07	$36.04	$95.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $26.27 / $32.36	Professional		$23.79	$26.27	$32.36
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 $48.96 / $50.81 / $50.81	Professional		$48.96	$50.81	$50.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.99 / $31.99 / $31.99	Facility		$31.99	$31.99	$31.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $35.54 / $56.89	Professional		$22.20	$35.54	$56.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $46.10 / $59.36	Professional		$36.54	$46.10	$59.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.07 / $53.20 / $97.38	Facility		$29.07	$53.20	$97.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $26.73 / $34.36	Professional		$23.79	$26.73	$34.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.30 / $53.30 / $55.70	Professional		$53.30	$53.30	$55.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $31.99 / $31.99	Facility		$20.61	$31.99	$31.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $35.47 / $58.98	Professional		$22.20	$35.47	$58.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.83 / $47.02 / $47.02	Facility		$42.83	$47.02	$47.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $47.02 / $117.69	Professional		$36.53	$47.02	$117.69
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $52.28 / $86.50	Professional		$40.65	$52.28	$86.50