Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.11 / $49.11 / $190.06	Facility		$49.11	$49.11	$190.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $57.46 / $94.88	Professional		$49.11	$57.46	$94.88
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 $85.97 / $96.30 / $96.30	Professional		$85.97	$96.30	$96.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $76.68 / $96.30	Facility		$76.68	$76.68	$96.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $55.98 / $111.38	Professional		$55.98	$55.98	$111.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.60 / $96.30 / $182.97	Professional		$88.60	$96.30	$182.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $49.11 / $49.11 / $190.06	Facility		$49.11	$49.11	$190.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $57.46 / $94.88	Professional		$49.11	$57.46	$94.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $142.52 / $235.10	Professional		$52.40	$142.52	$235.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $76.68 / $96.30	Facility		$76.68	$76.68	$96.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $55.98 / $111.38	Professional		$55.98	$55.98	$111.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $107.46 / $107.46 / $112.19	Facility		$107.46	$107.46	$112.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.46 / $107.46 / $112.19	Professional		$107.46	$107.46	$112.19
United Facility/Professional Facility Modifier Low / Median / High Price $55.21 / $71.01 / $82.81	Facility		$55.21	$71.01	$82.81
United Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $78.29 / $130.47	Professional		$57.78	$78.29	$130.47