Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.03 / $44.03 / $170.40	Facility		$44.03	$44.03	$170.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $48.72 / $61.62	Professional		$36.86	$48.72	$61.62
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 $81.47 / $107.00 / $107.00	Professional		$81.47	$107.00	$107.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $81.37 / $94.23	Facility		$81.37	$81.37	$94.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $59.40 / $86.75	Professional		$59.40	$59.40	$86.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $86.69 / $94.23 / $179.04	Professional		$86.69	$94.23	$179.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $44.03 / $44.03 / $170.40	Facility		$44.03	$44.03	$170.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $50.59 / $65.51	Professional		$36.86	$50.59	$65.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $128.50 / $185.60	Professional		$63.70	$128.50	$185.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $81.37 / $94.23	Facility		$81.37	$81.37	$94.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $59.40 / $133.13	Professional		$59.40	$59.40	$133.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $76.48 / $101.84 / $101.84	Facility		$76.48	$101.84	$101.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $101.84 / $109.19	Professional		$76.48	$101.84	$109.19
United Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $53.38 / $94.23	Professional		$39.18	$53.38	$94.23