Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.03 / $20.03 / $77.52	Facility		$20.03	$20.03	$77.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $22.16 / $26.21	Professional		$17.51	$22.16	$26.21
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 $37.06 / $48.66 / $48.66	Professional		$37.06	$48.66	$48.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $29.64 / $44.74	Facility		$29.64	$29.64	$44.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $21.64 / $53.25	Professional		$21.64	$21.64	$53.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $44.74 / $85.01	Professional		$41.16	$44.74	$85.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.03 / $20.03 / $77.52	Facility		$20.03	$20.03	$77.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $23.01 / $30.73	Professional		$17.51	$23.01	$30.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $61.00 / $88.20	Professional		$30.20	$61.00	$88.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $29.64 / $44.74	Facility		$29.64	$29.64	$44.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $21.64 / $53.25	Professional		$21.64	$21.64	$53.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $34.78 / $46.32 / $46.32	Facility		$34.78	$46.32	$46.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $46.32 / $46.32	Professional		$34.78	$46.32	$46.32
United Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $24.28 / $41.48	Professional		$18.47	$24.28	$41.48