Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.08 / $40.08 / $155.11	Facility		$40.08	$40.08	$155.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $44.34 / $69.73	Professional		$38.11	$44.34	$69.73
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 $74.15 / $97.38 / $97.38	Professional		$74.15	$97.38	$97.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.99 / $83.99 / $97.38	Facility		$83.99	$83.99	$97.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $61.31 / $89.54	Professional		$61.31	$61.31	$89.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $97.38 / $185.02	Professional		$89.59	$97.38	$185.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $40.08 / $40.08 / $155.11	Facility		$40.08	$40.08	$155.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $46.90 / $78.64	Professional		$38.11	$46.90	$78.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $40.40 / $191.90	Professional		$30.70	$40.40	$191.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $83.99 / $83.99 / $97.38	Facility		$83.99	$83.99	$97.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $61.31 / $150.38	Professional		$61.31	$61.31	$150.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $69.62 / $92.69 / $92.69	Facility		$69.62	$92.69	$92.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $92.69 / $123.58	Professional		$69.62	$92.69	$123.58
United Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $48.58 / $87.82	Professional		$43.91	$48.58	$87.82