Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $35.92 / $307.39	Facility		$35.92	$35.92	$307.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $30.47 / $214.68	Professional		$22.16	$30.47	$214.68
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 $32.56 / $50.51 / $60.74	Professional		$32.56	$50.51	$60.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $27.97 / $27.97	Professional		$27.97	$27.97	$27.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.84 / $47.11 / $47.11	Professional		$35.84	$47.11	$47.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $296.97 / $922.20	Facility		$35.92	$296.97	$922.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $32.69 / $267.12	Professional		$22.16	$32.69	$267.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $55.30 / $80.80	Professional		$45.60	$55.30	$80.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $27.97 / $27.97	Professional		$27.97	$27.97	$27.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.82 / $31.05 / $31.05	Facility		$23.82	$31.05	$31.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $31.05 / $32.38	Professional		$23.82	$31.05	$32.38
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $37.54 / $62.15	Professional		$26.71	$37.54	$62.15