Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.11 / $74.59 / $99.46	Facility		$68.11	$74.59	$99.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $79.70 / $99.46	Professional		$69.42	$79.70	$99.46
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 $65.45 / $77.01 / $164.71	Professional		$65.45	$77.01	$164.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $90.21 / $138.32	Professional		$64.17	$90.21	$138.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $68.11 / $72.89 / $103.61	Facility		$68.11	$72.89	$103.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $83.33 / $159.00	Professional		$68.86	$83.33	$159.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $102.17 / $112.38	Professional		$65.00	$102.17	$112.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $102.17 / $112.38	Professional		$65.00	$102.17	$112.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $117.47 / $218.30	Professional		$58.88	$117.47	$218.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $78.55 / $78.55 / $86.26	Facility		$78.55	$78.55	$86.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $78.55 / $83.47 / $86.26	Professional		$78.55	$83.47	$86.26
United Facility/Professional Professional Modifier Low / Median / High Price $75.50 / $103.56 / $145.61	Professional		$75.50	$103.56	$145.61