Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.86 / $54.86 / $212.31	Facility		$54.86	$54.86	$212.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $57.42 / $65.51	Professional		$44.35	$57.42	$65.51
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 $101.50 / $133.29 / $133.29	Professional		$101.50	$133.29	$133.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $75.47 / $113.33	Facility		$75.47	$75.47	$113.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $55.09 / $99.24	Professional		$55.09	$55.09	$99.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.26 / $113.33 / $215.33	Professional		$104.26	$113.33	$215.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $54.86 / $54.86 / $212.31	Facility		$54.86	$54.86	$212.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $60.69 / $71.45	Professional		$42.79	$60.69	$71.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $154.60 / $223.30	Professional		$76.80	$154.60	$223.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $75.47 / $113.33	Facility		$75.47	$75.47	$113.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $55.09 / $140.63	Professional		$55.09	$55.09	$140.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $95.31 / $126.87 / $126.87	Facility		$95.31	$126.87	$126.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $126.87 / $126.87	Professional		$95.31	$126.87	$126.87
United Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $66.50 / $113.33	Professional		$44.34	$66.50	$113.33