Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.58 / $25.58 / $40.61	Facility		$25.58	$25.58	$40.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $31.98 / $41.71	Professional		$18.14	$31.98	$41.71
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 $39.72 / $52.16 / $52.16	Professional		$39.72	$52.16	$52.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.45 / $34.45 / $61.13	Facility		$34.45	$34.45	$61.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $29.28 / $35.47	Professional		$21.28	$29.28	$35.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $52.16 / $99.10	Professional		$47.99	$52.16	$99.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.58 / $25.58 / $40.61	Facility		$25.58	$25.58	$40.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $31.98 / $49.33	Professional		$22.03	$31.98	$49.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $74.40 / $102.80	Professional		$64.70	$74.40	$102.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $34.45 / $34.45 / $61.13	Facility		$34.45	$34.45	$61.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $29.28 / $36.86	Professional		$21.28	$29.28	$36.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $49.65 / $49.65	Facility		$37.29	$49.65	$49.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $49.65 / $49.65	Professional		$37.29	$49.65	$49.65
United Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $26.02 / $45.57	Professional		$17.35	$26.02	$45.57