Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.65 / $30.65 / $118.62	Facility		$30.65	$30.65	$118.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $33.86 / $39.38	Professional		$24.40	$33.86	$39.38
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 $56.70 / $74.47 / $74.47	Professional		$56.70	$74.47	$74.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.77 / $40.77 / $62.34	Facility		$40.77	$40.77	$62.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $29.76 / $73.13	Professional		$29.76	$29.76	$73.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $62.34 / $118.45	Professional		$57.35	$62.34	$118.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.65 / $30.65 / $118.62	Facility		$30.65	$30.65	$118.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $33.90 / $49.73	Professional		$24.40	$33.90	$49.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $85.00 / $122.80	Professional		$42.20	$85.00	$122.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $40.77 / $40.77 / $62.34	Facility		$40.77	$40.77	$62.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $29.76 / $73.13	Professional		$29.76	$29.76	$73.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $53.26 / $70.88 / $70.88	Facility		$53.26	$70.88	$70.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.26 / $70.88 / $70.88	Professional		$53.26	$70.88	$70.88
United Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $37.15 / $61.93	Professional		$26.36	$37.15	$61.93