Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $25.23 / $97.64	Facility		$25.23	$25.23	$97.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.53 / $37.07	Professional		$23.99	$29.53	$37.07
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 $46.69 / $61.32 / $61.32	Professional		$46.69	$61.32	$61.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $35.07 / $61.32	Facility		$35.07	$35.07	$61.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $25.60 / $53.69	Professional		$25.60	$25.60	$53.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.41 / $61.32 / $116.51	Professional		$56.41	$61.32	$116.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $25.23 / $97.64	Facility		$25.23	$25.23	$97.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.53 / $39.86	Professional		$23.99	$29.53	$39.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $87.40 / $120.80	Professional		$76.00	$87.40	$120.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $35.07 / $61.32	Facility		$35.07	$35.07	$61.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $25.60 / $72.75	Professional		$25.60	$25.60	$72.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $43.82 / $58.36 / $58.36	Facility		$43.82	$58.36	$58.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $58.36 / $59.81	Professional		$43.82	$58.36	$59.81
United Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $30.59 / $50.98	Professional		$23.47	$30.59	$50.98