Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $33.47 / $53.15	Facility		$33.47	$33.47	$53.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $41.85 / $50.82	Professional		$23.75	$41.85	$50.82
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 $51.99 / $68.28 / $68.28	Professional		$51.99	$68.28	$68.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.02 / $41.02 / $76.56	Facility		$41.02	$41.02	$76.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $34.86 / $79.13	Professional		$34.86	$34.86	$79.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.97 / $53.40 / $89.45	Professional		$41.97	$53.40	$89.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $33.47 / $53.15	Facility		$33.47	$33.47	$53.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $41.85 / $53.15	Professional		$23.75	$41.85	$53.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $93.10 / $134.50	Professional		$51.00	$93.10	$134.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $41.02 / $41.02 / $76.56	Facility		$41.02	$41.02	$76.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $34.86 / $79.92	Professional		$34.86	$34.86	$79.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $48.82 / $64.98 / $64.98	Facility		$48.82	$64.98	$64.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.82 / $64.98 / $64.98	Professional		$48.82	$64.98	$64.98
United Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $34.21 / $61.57	Professional		$23.96	$34.21	$61.57