Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.06 / $36.81 / $36.81	Facility		$35.06	$36.81	$36.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $36.81 / $49.95	Professional		$33.47	$36.81	$49.95
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 $54.26 / $60.29 / $60.29	Professional		$54.26	$60.29	$60.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.23 / $44.23 / $156.00	Facility		$44.23	$44.23	$156.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $54.64	Professional		$37.60	$37.60	$54.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $126.61 / $126.61 / $126.61	Facility		$126.61	$126.61	$126.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $73.55 / $94.81	Professional		$55.47	$73.55	$94.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $36.81 / $36.81 / $36.81	Facility		$36.81	$36.81	$36.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $36.81 / $58.15	Professional		$32.94	$36.81	$58.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.90 / $136.30 / $191.20	Professional		$123.90	$136.30	$191.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $44.23 / $44.23 / $156.00	Facility		$44.23	$44.23	$156.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $57.00	Professional		$37.60	$37.60	$57.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $72.03 / $174.11	Facility		$61.98	$72.03	$174.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $65.87 / $174.11	Professional		$61.98	$65.87	$174.11
United Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $38.43 / $46.47	Facility		$33.97	$38.43	$46.47
United Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $39.11 / $96.81	Professional		$32.20	$39.11	$96.81