Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.82 / $45.68 / $45.68	Facility		$37.82	$45.68	$45.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $40.81 / $54.84	Professional		$36.36	$40.81	$54.84
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 $43.69 / $51.82 / $74.90	Professional		$43.69	$51.82	$74.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.88 / $48.88 / $48.88	Facility		$48.88	$48.88	$48.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $38.69 / $38.69	Professional		$38.69	$38.69	$38.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $59.92 / $116.75	Professional		$42.71	$59.92	$116.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $45.68 / $45.68 / $45.68	Facility		$45.68	$45.68	$45.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $41.35 / $216.48	Professional		$30.46	$41.35	$216.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $83.20 / $101.90	Professional		$76.09	$83.20	$101.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $48.88 / $48.88 / $48.88	Facility		$48.88	$48.88	$48.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $38.69 / $38.69	Professional		$38.69	$38.69	$38.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $41.01 / $41.01	Facility		$40.15	$41.01	$41.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.94 / $41.01 / $42.28	Professional		$39.94	$41.01	$42.28
United Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $46.87 / $78.84	Professional		$36.96	$46.87	$78.84