Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.93 / $44.93 / $173.88	Facility		$44.93	$44.93	$173.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.73 / $49.71 / $60.40	Professional		$42.73	$49.71	$60.40
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 $83.13 / $109.17 / $109.17	Professional		$83.13	$109.17	$109.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $109.17	Facility		$66.72	$66.72	$109.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $48.71 / $95.59	Professional		$48.71	$48.71	$95.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.44 / $109.17 / $207.42	Professional		$100.44	$109.17	$207.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $44.93 / $44.93 / $173.88	Facility		$44.93	$44.93	$173.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.73 / $51.62 / $71.00	Professional		$42.73	$51.62	$71.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $57.00 / $215.10	Professional		$43.40	$57.00	$215.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $109.17	Facility		$66.72	$66.72	$109.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $48.71 / $129.75	Professional		$48.71	$48.71	$129.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $78.05 / $103.91 / $103.91	Facility		$78.05	$103.91	$103.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $78.05 / $103.91 / $106.46	Professional		$78.05	$103.91	$106.46
United Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $54.69 / $98.45	Professional		$41.31	$54.69	$98.45