Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.33 / $152.43 / $394.14	Facility		$76.33	$152.43	$394.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $76.33 / $92.38	Professional		$51.62	$76.33	$92.38
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 $89.09 / $89.09 / $89.09	Professional		$89.09	$89.09	$89.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $97.96 / $301.91	Facility		$2.79	$97.96	$301.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $63.55 / $151.97	Professional		$34.86	$63.55	$151.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $270.64 / $270.64 / $270.64	Facility		$270.64	$270.64	$270.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $113.41 / $217.81	Professional		$90.22	$113.41	$217.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $92.02 / $228.18 / $394.14	Facility		$92.02	$228.18	$394.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $76.33 / $145.03	Professional		$58.22	$76.33	$145.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $189.60 / $189.60	Professional		$97.80	$189.60	$189.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $97.96 / $310.77	Facility		$3.44	$97.96	$310.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $69.73 / $149.88	Professional		$34.86	$69.73	$149.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $103.82 / $103.82 / $106.93	Facility		$103.82	$103.82	$106.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $103.82 / $103.82 / $106.93	Professional		$103.82	$103.82	$106.93
United Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $50.73 / $105.22	Professional		$29.34	$50.73	$105.22