Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $27.93 / $44.35	Facility		$27.93	$27.93	$44.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $34.92 / $43.38	Professional		$19.80	$34.92	$43.38
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 $43.38 / $56.97 / $56.97	Professional		$43.38	$56.97	$56.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.26 / $63.26 / $122.56	Facility		$63.26	$63.26	$122.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $23.24 / $66.00	Professional		$23.24	$23.24	$66.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.41 / $56.97 / $108.24	Professional		$52.41	$56.97	$108.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $27.93 / $44.35	Facility		$27.93	$27.93	$44.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $34.92 / $53.87	Professional		$24.05	$34.92	$53.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $77.70 / $112.20	Professional		$42.50	$77.70	$112.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $63.26 / $63.26 / $122.56	Facility		$63.26	$63.26	$122.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $23.24 / $66.66	Professional		$23.24	$23.24	$66.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $54.22 / $54.22	Facility		$40.72	$54.22	$54.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $54.22 / $54.22	Professional		$40.72	$54.22	$54.22
United Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $28.42 / $51.36	Professional		$20.47	$28.42	$51.36