Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.81 / $43.49 / $43.49	Facility		$41.81	$43.49	$43.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $43.49 / $52.21	Professional		$40.22	$43.49	$52.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,459.92 / $8,639.91 / $79,506.39	Facility		$8,459.92	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $53.76 / $55.79 / $102.51	Professional		$53.76	$55.79	$102.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.56 / $62.56 / $62.56	Facility		$62.56	$62.56	$62.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $47.02 / $47.02	Professional		$47.02	$47.02	$47.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $114.68 / $114.68 / $114.68	Facility		$114.68	$114.68	$114.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.07 / $77.61 / $107.89	Professional		$60.07	$77.61	$107.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.81 / $43.49 / $43.49	Facility		$41.81	$43.49	$43.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $44.81 / $54.64	Professional		$40.22	$44.81	$54.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $128.69 / $128.69	Professional		$104.70	$128.69	$128.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $62.56 / $62.56 / $62.56	Facility		$62.56	$62.56	$62.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $47.02 / $47.02	Professional		$47.02	$47.02	$47.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $53.34 / $53.34 / $61.75	Facility		$53.34	$53.34	$61.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.12 / $54.24 / $54.54	Professional		$51.12	$54.24	$54.54
United Facility/Professional Professional Modifier Low / Median / High Price $47.39 / $61.34 / $101.25	Professional		$47.39	$61.34	$101.25