Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.04 / $53.04 / $84.20	Facility		$53.04	$53.04	$84.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $66.30 / $86.48	Professional		$37.61	$66.30	$86.48
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 $82.36 / $108.17 / $108.17	Professional		$82.36	$108.17	$108.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.76 / $126.76 / $231.59	Facility		$126.76	$126.76	$231.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $44.13 / $125.25	Professional		$44.13	$44.13	$125.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.52 / $108.17 / $205.52	Professional		$99.52	$108.17	$205.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $53.04 / $53.04 / $84.20	Facility		$53.04	$53.04	$84.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $66.30 / $102.29	Professional		$45.67	$66.30	$102.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.10 / $154.19 / $213.10	Professional		$134.10	$154.19	$213.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $126.76 / $126.76 / $231.59	Facility		$126.76	$126.76	$231.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $44.13 / $125.25	Professional		$44.13	$44.13	$125.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $102.95 / $102.95	Facility		$77.31	$102.95	$102.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $102.95 / $102.95	Professional		$77.31	$102.95	$102.95
United Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $53.96 / $97.52	Professional		$35.97	$53.96	$97.52