Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $41.22 / $159.52	Facility		$39.54	$41.22	$159.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $41.82 / $53.52	Professional		$39.03	$41.82	$53.52
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 $57.56 / $59.73 / $59.73	Professional		$57.56	$59.73	$59.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $47.13 / $47.13	Facility		$47.13	$47.13	$47.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $34.40 / $67.06	Professional		$34.40	$34.40	$67.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.22 / $41.22 / $159.52	Facility		$41.22	$41.22	$159.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.85 / $41.22 / $48.35	Professional		$38.85	$41.22	$48.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.20 / $99.20 / $99.20	Professional		$99.20	$99.20	$99.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $47.13 / $47.13	Facility		$47.13	$47.13	$47.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $34.40 / $114.00	Professional		$34.40	$34.40	$114.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $66.23 / $66.23 / $66.23	Facility		$66.23	$66.23	$66.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $66.23 / $66.23	Professional		$66.23	$66.23	$66.23
United Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $54.67 / $96.48	Professional		$42.10	$54.67	$96.48