Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $26.48 / $102.48	Facility		$26.48	$26.48	$102.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $29.29 / $35.57	Professional		$25.17	$29.29	$35.57
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 $48.98 / $64.33 / $64.33	Professional		$48.98	$64.33	$64.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $36.78 / $64.33	Facility		$36.78	$36.78	$64.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $26.85 / $76.50	Professional		$26.85	$26.85	$76.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $64.33 / $122.23	Professional		$59.18	$64.33	$122.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $26.48 / $102.48	Facility		$26.48	$26.48	$102.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $30.42 / $41.81	Professional		$25.17	$30.42	$41.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $91.70 / $126.70	Professional		$65.59	$91.70	$126.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $36.78 / $64.33	Facility		$36.78	$36.78	$64.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $26.85 / $77.27	Professional		$26.85	$26.85	$77.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $45.98 / $61.23 / $61.23	Facility		$45.98	$61.23	$61.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $61.23 / $62.72	Professional		$45.98	$61.23	$62.72
United Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $78.48 / $94.18	Facility		$66.70	$78.48	$94.18
United Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $32.40 / $58.00	Professional		$24.61	$32.40	$58.00