Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.49 / $54.49 / $210.88	Facility		$54.49	$54.49	$210.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $56.85 / $72.59	Professional		$39.67	$56.85	$72.59
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 $100.82 / $132.41 / $132.41	Professional		$100.82	$132.41	$132.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $87.42 / $101.38	Facility		$87.42	$87.42	$101.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $63.82 / $90.04	Professional		$63.82	$63.82	$90.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.27 / $101.38 / $192.62	Professional		$93.27	$101.38	$192.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $54.49 / $54.49 / $210.88	Facility		$54.49	$54.49	$210.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $60.29 / $77.20	Professional		$39.67	$60.29	$77.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $138.19 / $199.70	Professional		$68.70	$138.19	$199.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $87.42 / $101.38	Facility		$87.42	$87.42	$101.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $63.82 / $156.75	Professional		$63.82	$63.82	$156.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $94.67 / $126.03 / $126.03	Facility		$94.67	$126.03	$126.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $126.03 / $128.66	Professional		$94.67	$126.03	$128.66
United Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $66.05 / $110.09	Professional		$44.04	$66.05	$110.09