Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $43.07 / $1,359.00	Facility		$38.54	$43.07	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $39.85 / $47.58	Professional		$36.79	$39.85	$47.58
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 $40.43 / $41.95 / $77.78	Professional		$40.43	$41.95	$77.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $65.15 / $65.15	Facility		$40.54	$65.15	$65.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $51.09 / $80.23	Professional		$39.25	$51.09	$80.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.87 / $58.81 / $82.83	Professional		$45.87	$58.81	$82.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $43.07 / $43.07 / $1,812.00	Facility		$43.07	$43.07	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $40.32 / $69.89	Professional		$37.04	$40.32	$69.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $55.30 / $81.80	Professional		$38.70	$55.30	$81.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $65.15 / $65.15	Facility		$40.54	$65.15	$65.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $51.09 / $94.21	Professional		$39.25	$51.09	$94.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $39.70 / $40.01	Facility		$37.40	$39.70	$40.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $39.96 / $41.68	Professional		$38.74	$39.96	$41.68
United Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $45.91 / $79.56	Professional		$38.11	$45.91	$79.56