Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $70.79	Professional		$19.95	$19.95	$70.79
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $77,624.71	Facility		$8,511.38	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $177.83 / $186.21	Professional		$158.49	$177.83	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $181.97 / $190.55	Professional		$14.79	$181.97	$190.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $70.79	Professional		$19.95	$19.95	$70.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $63.10 / $234.42	Professional		$20.89	$63.10	$234.42