Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.13 / $47.82 / $1,359.00	Facility		$25.13	$47.82	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $46.81 / $62.27	Professional		$21.57	$46.81	$62.27
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 $52.06 / $54.02 / $92.35	Professional		$52.06	$54.02	$92.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.76 / $52.96 / $91.59	Professional		$24.76	$52.96	$91.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $49.46 / $49.46 / $49.46	Facility		$49.46	$49.46	$49.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $74.05 / $105.01	Professional		$57.88	$74.05	$105.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.13 / $55.55 / $1,812.00	Facility		$25.13	$55.55	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $48.16 / $83.10	Professional		$22.05	$48.16	$83.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $59.59 / $115.80	Professional		$25.11	$59.59	$115.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $51.98 / $90.53	Professional		$24.75	$51.98	$90.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.46 / $23.18 / $49.74	Facility		$21.46	$23.18	$49.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $44.58 / $50.73	Professional		$22.52	$44.58	$50.73
United Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $54.19 / $89.87	Professional		$41.75	$54.19	$89.87