Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $37.72 / $145.97	Facility		$37.72	$37.72	$145.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $44.14 / $55.44	Professional		$31.20	$44.14	$55.44
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 $69.78 / $91.65 / $91.65	Professional		$69.78	$91.65	$91.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $91.65	Facility		$58.60	$58.60	$91.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $42.78 / $80.25	Professional		$42.78	$42.78	$80.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.32 / $91.65 / $174.14	Professional		$84.32	$91.65	$174.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $37.72 / $145.97	Facility		$37.72	$37.72	$145.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $44.14 / $55.44	Professional		$27.84	$44.14	$55.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $40.20 / $180.60	Professional		$30.60	$40.20	$180.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $91.65	Facility		$58.60	$58.60	$91.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $42.78 / $108.75	Professional		$42.78	$42.78	$108.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $58.89 / $87.23 / $87.23	Facility		$58.89	$87.23	$87.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $87.23 / $89.39	Professional		$58.89	$87.23	$89.39
United Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $45.73 / $80.08	Professional		$35.09	$45.73	$80.08