Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.38 / $55.00 / $55.00	Facility		$52.38	$55.00	$55.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.07 / $52.38 / $71.59	Professional		$33.07	$52.38	$71.59
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 $75.92 / $99.71 / $99.71	Professional		$75.92	$99.71	$99.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $43.91 / $118.50	Professional		$43.91	$43.91	$118.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.73 / $99.71 / $189.45	Professional		$91.73	$99.71	$189.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $54.88 / $77.11	Professional		$37.90	$54.88	$77.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $49.20 / $196.40	Professional		$37.50	$49.20	$196.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $43.91 / $118.50	Professional		$43.91	$43.91	$118.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $71.28 / $94.90 / $94.90	Facility		$71.28	$94.90	$94.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $94.90 / $97.26	Professional		$71.28	$94.90	$97.26
United Facility/Professional Professional Modifier Low / Median / High Price $37.81 / $50.67 / $87.10	Professional		$37.81	$50.67	$87.10