Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.78 / $54.52 / $1,359.00	Facility		$38.78	$54.52	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $43.20 / $63.27	Professional		$32.71	$43.20	$63.27
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 $57.48 / $61.05 / $98.77	Professional		$57.48	$61.05	$98.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.44 / $59.40 / $91.22	Facility		$43.44	$59.40	$91.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $55.50 / $103.19	Professional		$34.90	$55.50	$103.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $89.57 / $120.24	Professional		$63.02	$89.57	$120.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.78 / $63.27 / $1,812.00	Facility		$38.78	$63.27	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $50.93 / $102.67	Professional		$34.15	$50.93	$102.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $120.80	Professional		$42.00	$42.00	$120.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $43.44 / $59.40 / $75.95	Facility		$43.44	$59.40	$75.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $55.51 / $105.18	Professional		$35.31	$55.51	$105.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $35.51 / $56.70	Facility		$27.68	$35.51	$56.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $37.95 / $60.53	Professional		$34.19	$37.95	$60.53
United Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $59.39 / $107.34	Professional		$39.65	$59.39	$107.34