Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $38.75 / $149.96	Facility		$38.75	$38.75	$149.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $44.52 / $56.42	Professional		$38.54	$44.52	$56.42
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 $71.70 / $94.16 / $94.16	Professional		$71.70	$94.16	$94.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.84 / $58.84 / $110.83	Facility		$58.84	$58.84	$110.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $42.95 / $97.05	Professional		$42.95	$42.95	$97.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $101.96 / $110.83 / $210.58	Professional		$101.96	$110.83	$210.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $38.75 / $149.96	Facility		$38.75	$38.75	$149.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $44.52 / $70.70	Professional		$38.54	$44.52	$70.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $151.19 / $218.40	Professional		$75.00	$151.19	$218.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $58.84 / $58.84 / $110.83	Facility		$58.84	$58.84	$110.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $42.95 / $109.13	Professional		$42.95	$42.95	$109.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $89.62 / $89.62	Facility		$67.31	$89.62	$89.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $89.62 / $105.49	Professional		$67.31	$89.62	$105.49
United Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $47.49 / $84.92	Professional		$39.15	$47.49	$84.92