Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.07 / $104.98 / $143.59	Facility		$93.07	$104.98	$143.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $117.02 / $207.64	Professional		$99.56	$117.02	$207.64
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $26.28 / $26.28 / $147.68	Professional	25	$26.28	$26.28	$147.68
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 $110.44 / $129.93 / $235.52	Professional		$110.44	$129.93	$235.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.41 / $126.72 / $196.54	Professional		$104.41	$126.72	$196.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $98.29 / $100.22 / $143.59	Facility		$98.29	$100.22	$143.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $128.53 / $252.35	Professional		$99.56	$128.53	$252.35
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $26.28 / $26.28 / $147.68	Professional	25	$26.28	$26.28	$147.68
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $146.12 / $160.74	Professional		$105.00	$146.12	$160.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $146.12 / $160.74	Professional		$105.00	$146.12	$160.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $165.23 / $342.88	Professional		$78.30	$165.23	$342.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $116.70 / $120.48 / $130.08	Facility		$116.70	$120.48	$130.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $116.70 / $120.48 / $130.08	Professional		$116.70	$120.48	$130.08
United Facility/Professional Professional Modifier Low / Median / High Price $112.01 / $138.32 / $218.46	Professional		$112.01	$138.32	$218.46