Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.34 / $31.34 / $121.29	Facility		$31.34	$31.34	$121.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $34.68 / $43.79	Professional		$28.86	$34.68	$43.79
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 $57.99 / $76.15 / $76.15	Professional		$57.99	$76.15	$76.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $73.77	Facility		$36.72	$36.72	$73.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $26.81 / $64.59	Professional		$26.81	$26.81	$64.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.87 / $73.77 / $140.16	Professional		$67.87	$73.77	$140.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $31.34 / $31.34 / $121.29	Facility		$31.34	$31.34	$121.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $36.01 / $59.90	Professional		$28.75	$36.01	$59.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $49.90 / $145.30	Professional		$45.60	$49.90	$145.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $73.77	Facility		$36.72	$36.72	$73.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $26.81 / $94.50	Professional		$26.81	$26.81	$94.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $72.48 / $72.48	Facility		$54.45	$72.48	$72.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $72.48 / $77.59	Professional		$54.45	$72.48	$77.59
United Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $38.15 / $66.54	Professional		$28.20	$38.15	$66.54