Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.12 / $31.12 / $120.43	Facility		$31.12	$31.12	$120.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $35.75 / $54.15	Professional		$29.59	$35.75	$54.15
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 $57.58 / $75.61 / $75.61	Professional		$57.58	$75.61	$75.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $79.79	Facility		$65.20	$65.20	$79.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $79.79	Professional		$47.60	$47.60	$79.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $75.61 / $143.66	Professional		$69.56	$75.61	$143.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $31.12 / $31.12 / $120.43	Facility		$31.12	$31.12	$120.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $36.42 / $57.57	Professional		$29.59	$36.42	$57.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $103.10 / $149.00	Professional		$51.10	$103.10	$149.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $79.79	Facility		$65.20	$65.20	$79.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $117.00	Professional		$47.60	$47.60	$117.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $54.06 / $71.97 / $71.97	Facility		$54.06	$71.97	$71.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $71.97 / $95.95	Professional		$54.06	$71.97	$95.95
United Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $38.14 / $66.06	Professional		$31.22	$38.14	$66.06