Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.24 / $43.24 / $167.34	Facility		$43.24	$43.24	$167.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $49.67 / $62.28	Professional		$41.46	$49.67	$62.28
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 $79.98 / $105.05 / $105.05	Professional		$79.98	$105.05	$105.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $61.48 / $105.93	Facility		$61.48	$61.48	$105.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $44.88 / $92.76	Professional		$44.88	$44.88	$92.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.46 / $105.93 / $201.27	Professional		$97.46	$105.93	$201.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $43.24 / $43.24 / $167.34	Facility		$43.24	$43.24	$167.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $49.67 / $73.86	Professional		$41.46	$49.67	$73.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $144.50 / $208.70	Professional		$71.70	$144.50	$208.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $61.48 / $105.93	Facility		$61.48	$61.48	$105.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $44.88 / $119.25	Professional		$44.88	$44.88	$119.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $75.12 / $99.99 / $99.99	Facility		$75.12	$99.99	$99.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $99.99 / $100.83	Professional		$75.12	$99.99	$100.83
United Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Facility		$29.60	$29.60	$29.60
United Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $52.42 / $87.36	Professional		$38.86	$52.42	$87.36