Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.85 / $67.08 / $138.60	Facility		$26.85	$67.08	$138.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $26.85 / $32.49	Professional		$18.27	$26.85	$32.49
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 $29.95 / $29.95 / $29.95	Professional		$29.95	$29.95	$29.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $37.65 / $106.61	Facility		$0.99	$37.65	$106.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $19.32 / $49.55	Professional		$10.23	$19.32	$49.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $18.05	Facility		$18.05	$18.05	$18.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $9.02 / $16.34	Professional		$6.02	$9.02	$16.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $80.25 / $138.60	Facility		$35.74	$80.25	$138.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $26.85 / $40.28	Professional		$18.27	$26.85	$40.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $92.00 / $92.00	Professional		$34.60	$92.00	$92.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $37.65 / $109.75	Facility		$1.22	$37.65	$109.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $20.45 / $47.20	Professional		$10.35	$20.45	$47.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.08 / $35.08 / $36.13	Facility		$35.08	$35.08	$36.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.08 / $35.08 / $36.13	Professional		$35.08	$35.08	$36.13
United Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $16.52 / $37.57	Professional		$9.76	$16.52	$37.57