Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $30.16 / $116.72	Facility		$30.16	$30.16	$116.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $33.36 / $42.53	Professional		$28.68	$33.36	$42.53
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 $55.79 / $73.27 / $73.27	Professional		$55.79	$73.27	$73.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $73.27	Facility		$41.91	$41.91	$73.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $30.59 / $87.00	Professional		$30.59	$30.59	$87.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.41 / $73.27 / $139.21	Professional		$67.41	$73.27	$139.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $30.16 / $116.72	Facility		$30.16	$30.16	$116.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $34.65 / $52.36	Professional		$28.68	$34.65	$52.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $104.50 / $144.40	Professional		$60.00	$104.50	$144.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $73.27	Facility		$41.91	$41.91	$73.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $30.59 / $87.87	Professional		$30.59	$30.59	$87.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $52.39 / $69.73 / $69.73	Facility		$52.39	$69.73	$69.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $52.39 / $69.73 / $71.45	Professional		$52.39	$69.73	$71.45
United Facility/Professional Facility Modifier Low / Median / High Price $76.02 / $89.43 / $107.32	Facility		$76.02	$89.43	$107.32
United Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $36.96 / $60.93	Professional		$28.36	$36.96	$60.93