Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.60 / $32.60 / $51.75	Facility		$32.60	$32.60	$51.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $40.75 / $53.15	Professional		$23.13	$40.75	$53.15
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 $50.62 / $66.48 / $66.48	Professional		$50.62	$66.48	$66.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.94 / $39.94 / $77.90	Facility		$39.94	$39.94	$77.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $33.95 / $49.34	Professional		$33.95	$33.95	$49.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $61.16 / $66.48 / $126.31	Professional		$61.16	$66.48	$126.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.60 / $32.60 / $51.75	Facility		$32.60	$32.60	$51.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $40.75 / $62.87	Professional		$28.07	$40.75	$62.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $94.80 / $131.00	Professional		$82.40	$94.80	$131.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $39.94 / $39.94 / $77.90	Facility		$39.94	$39.94	$77.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $33.95 / $77.25	Professional		$33.95	$33.95	$77.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $63.27 / $63.27	Facility		$47.53	$63.27	$63.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $63.27 / $63.27	Professional		$47.53	$63.27	$63.27
United Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $33.17 / $59.95	Professional		$22.11	$33.17	$59.95