Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.86 / $92.70 / $125.00	Facility		$3.86	$92.70	$125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $112.46 / $179.98	Professional		$47.20	$112.46	$179.98
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 $74.48 / $77.15 / $161.29	Professional		$74.48	$77.15	$161.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.42 / $81.42 / $81.42	Facility		$81.42	$81.42	$81.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $89.78 / $134.90	Professional		$66.69	$89.78	$134.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $101.39 / $188.93	Professional		$69.12	$101.39	$188.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.86 / $7.22 / $135.02	Facility		$3.86	$7.22	$135.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $123.18 / $210.12	Professional		$10.90	$123.18	$210.12
Optum Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $83.56 / $98.07	Professional		$66.15	$83.56	$98.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.56 / $126.40 / $179.30	Professional		$83.56	$126.40	$179.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $81.42 / $81.42 / $81.42	Facility		$81.42	$81.42	$81.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $89.02 / $136.94	Professional		$66.51	$89.02	$136.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $83.37 / $83.37 / $83.37	Facility		$83.37	$83.37	$83.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $83.37 / $83.37	Professional		$75.59	$83.37	$83.37
United Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $84.72 / $139.72	Professional		$64.20	$84.72	$139.72