Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.26 / $31.26 / $49.62	Facility		$31.26	$31.26	$49.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $39.07 / $48.25	Professional		$22.17	$39.07	$48.25
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 $48.54 / $63.75 / $63.75	Professional		$48.54	$63.75	$63.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $38.29 / $74.70	Facility		$38.29	$38.29	$74.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $32.54 / $45.05	Professional		$32.54	$32.54	$45.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $54.19 / $102.96	Professional		$49.85	$54.19	$102.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $31.26 / $31.26 / $49.62	Facility		$31.26	$31.26	$49.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $39.07 / $63.71	Professional		$17.98	$39.07	$63.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $86.90 / $125.60	Professional		$47.60	$86.90	$125.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $38.29 / $74.70	Facility		$38.29	$38.29	$74.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $32.54 / $73.88	Professional		$32.54	$32.54	$73.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $45.58 / $60.68 / $60.68	Facility		$45.58	$60.68	$60.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $60.68 / $60.68	Professional		$45.58	$60.68	$60.68
United Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $31.94 / $57.49	Professional		$22.37	$31.94	$57.49