Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $112.20 / $213.80	Facility		$37.15	$112.20	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $42.66	Professional		$23.99	$30.20	$42.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $45.71 / $131.83	Facility		$1.15	$45.71	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.95 / $58.88	Professional		$11.22	$19.95	$58.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.13 / $23.44	Professional		$11.22	$14.13	$23.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $104.71 / $213.80	Facility		$41.69	$104.71	$213.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.62 / $46.77	Professional		$23.99	$31.62	$46.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $12.59 / $28.84	Facility		$6.61	$12.59	$28.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $12.59 / $28.84	Professional		$6.61	$12.59	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $489.78 / $602.56	Facility		$257.04	$489.78	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $17.78 / $35.48	Professional		$10.47	$17.78	$35.48