Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.09 / $43.09 / $166.76	Facility		$43.09	$43.09	$166.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $47.68 / $57.92	Professional		$40.98	$47.68	$57.92
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 $79.73 / $104.71 / $104.71	Professional		$79.73	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $59.89 / $104.71	Facility		$59.89	$59.89	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $43.72 / $91.69	Professional		$43.72	$43.72	$91.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.33 / $104.71 / $198.95	Professional		$96.33	$104.71	$198.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $43.09 / $43.09 / $166.76	Facility		$43.09	$43.09	$166.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $49.51 / $68.08	Professional		$40.98	$49.51	$68.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $49.20 / $206.30	Professional		$37.50	$49.20	$206.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $59.89 / $104.71	Facility		$59.89	$59.89	$104.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $43.72 / $124.50	Professional		$43.72	$43.72	$124.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $74.87 / $99.67 / $99.67	Facility		$74.87	$99.67	$99.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.87 / $99.67 / $102.10	Professional		$74.87	$99.67	$102.10
United Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $52.24 / $94.43	Professional		$40.07	$52.24	$94.43