Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.32 / $105.39 / $172.57	Facility		$31.32	$105.39	$172.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $31.32 / $37.90	Professional		$21.18	$31.32	$37.90
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 $12.31 / $12.31 / $12.31	Professional		$12.31	$12.31	$12.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $43.99 / $128.22	Facility		$1.15	$43.99	$128.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $22.35 / $57.89	Professional		$11.18	$22.35	$57.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $33.83 / $33.83 / $33.83	Facility		$33.83	$33.83	$33.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $16.92 / $28.93	Professional		$11.28	$16.92	$28.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $105.39 / $172.57	Facility		$37.90	$105.39	$172.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $31.32 / $46.98	Professional		$22.79	$31.32	$46.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $96.00 / $96.00	Professional		$40.50	$96.00	$96.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $43.99 / $128.22	Facility		$1.42	$43.99	$128.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $22.46 / $54.71	Professional		$11.18	$22.46	$54.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $12.24 / $12.61	Facility		$12.24	$12.24	$12.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $12.24 / $12.61	Professional		$12.24	$12.24	$12.61
United Facility/Professional Facility Modifier Low / Median / High Price $259.44 / $447.78 / $582.30	Facility		$259.44	$447.78	$582.30
United Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $19.30 / $41.36	Professional		$10.53	$19.30	$41.36