Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.26 / $41.26 / $159.68	Facility		$41.26	$41.26	$159.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $45.65 / $58.12	Professional		$39.22	$45.65	$58.12
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 $76.34 / $100.25 / $100.25	Professional		$76.34	$100.25	$100.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $57.32 / $100.25	Facility		$57.32	$57.32	$100.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $41.84 / $118.88	Professional		$41.84	$41.84	$118.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.23 / $100.25 / $190.48	Professional		$92.23	$100.25	$190.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.26 / $41.26 / $159.68	Facility		$41.26	$41.26	$159.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $47.40 / $65.16	Professional		$39.22	$47.40	$65.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.30 / $142.90 / $197.50	Professional		$124.30	$142.90	$197.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $57.32 / $100.25	Facility		$57.32	$57.32	$100.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $41.84 / $120.06	Professional		$41.84	$41.84	$120.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $71.66 / $95.42 / $95.42	Facility		$71.66	$95.42	$95.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $95.42 / $97.74	Professional		$71.66	$95.42	$97.74
United Facility/Professional Facility Modifier Low / Median / High Price $103.97 / $122.32 / $146.78	Facility		$103.97	$122.32	$146.78
United Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $50.55 / $87.58	Professional		$38.36	$50.55	$87.58