Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $28.31 / $109.56	Facility		$28.31	$28.31	$109.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $31.32 / $39.90	Professional		$26.93	$31.32	$39.90
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 $52.38 / $68.78 / $68.78	Professional		$52.38	$68.78	$68.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $39.35 / $68.78	Facility		$39.35	$39.35	$68.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $28.73 / $60.23	Professional		$28.73	$28.73	$60.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $68.78 / $130.68	Professional		$63.28	$68.78	$130.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $28.31 / $109.56	Facility		$28.31	$28.31	$109.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $33.13 / $43.49	Professional		$26.93	$33.13	$43.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.30 / $98.10 / $135.50	Professional		$85.30	$98.10	$135.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $39.35 / $68.78	Facility		$39.35	$39.35	$68.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $28.73 / $81.75	Professional		$28.73	$28.73	$81.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $49.20 / $65.47 / $65.47	Facility		$49.20	$65.47	$65.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $65.47 / $67.13	Professional		$49.20	$65.47	$67.13
United Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $34.32 / $62.05	Professional		$24.21	$34.32	$62.05