Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.03 / $34.68 / $34.68	Facility		$33.03	$34.68	$34.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $34.85 / $46.71	Professional		$31.54	$34.85	$46.71
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 $49.57 / $55.08 / $55.08	Professional		$49.57	$55.08	$55.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $49.86	Facility		$40.36	$40.36	$49.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $34.31 / $40.36	Professional		$34.31	$34.31	$40.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $115.67 / $115.67 / $115.67	Facility		$115.67	$115.67	$115.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $67.20 / $86.62	Professional		$50.67	$67.20	$86.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $34.68 / $34.68	Facility		$34.68	$34.68	$34.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $34.85 / $51.75	Professional		$31.54	$34.85	$51.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $124.70 / $150.30	Professional		$25.10	$124.70	$150.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $49.86	Facility		$40.36	$40.36	$49.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $34.31 / $71.63	Professional		$34.31	$34.31	$71.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $58.30 / $58.30 / $72.03	Facility		$58.30	$58.30	$72.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $58.30 / $72.03	Professional		$58.30	$58.30	$72.03
United Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $37.54 / $77.45	Professional		$20.25	$37.54	$77.45