Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.21 / $29.21 / $113.04	Facility		$29.21	$29.21	$113.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.09 / $34.18 / $54.24	Professional		$29.09	$34.18	$54.24
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 $51.22 / $55.67 / $55.67	Professional		$51.22	$55.67	$55.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.67 / $57.67 / $57.67	Facility		$55.67	$57.67	$57.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $42.10 / $81.91	Professional		$42.10	$42.10	$81.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.22 / $55.67 / $105.77	Professional		$51.22	$55.67	$105.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.21 / $29.21 / $113.04	Facility		$29.21	$29.21	$113.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.09 / $34.18 / $98.75	Professional		$29.09	$34.18	$98.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $43.30 / $140.69	Professional		$33.00	$43.30	$140.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $55.67 / $57.67 / $57.67	Facility		$55.67	$57.67	$57.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $42.10 / $90.00	Professional		$42.10	$42.10	$90.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $64.02 / $64.02 / $70.54	Facility		$64.02	$64.02	$70.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.27 / $64.02 / $70.54	Professional		$63.27	$64.02	$70.54
United Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $49.22 / $82.04	Professional		$33.90	$49.22	$82.04