Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.43 / $204.51 / $481.55	Facility		$58.43	$204.51	$481.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $58.43 / $70.72	Professional		$39.44	$58.43	$70.72
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 $55.30 / $55.30 / $55.30	Professional		$55.30	$55.30	$55.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $81.65 / $237.97	Facility		$2.13	$81.65	$237.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $43.37 / $107.45	Professional		$21.69	$43.37	$107.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $124.05 / $124.05 / $124.05	Facility		$124.05	$124.05	$124.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.35 / $53.57 / $99.83	Professional		$41.35	$53.57	$99.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $61.35 / $197.49 / $481.55	Facility		$61.35	$197.49	$481.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $44.54 / $58.43 / $87.65	Professional		$44.54	$58.43	$87.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $137.60 / $137.60	Professional		$74.59	$137.60	$137.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $81.65 / $237.97	Facility		$2.63	$81.65	$237.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $43.48 / $101.91	Professional		$21.69	$43.48	$101.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $58.00 / $59.74	Facility		$58.00	$58.00	$59.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $58.00 / $59.74	Professional		$58.00	$58.00	$59.74
United Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $38.38 / $78.45	Professional		$21.44	$38.38	$78.45