Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $31.39 / $121.48	Facility		$31.39	$31.39	$121.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $34.72 / $44.23	Professional		$29.85	$34.72	$44.23
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 $58.08 / $76.28 / $76.28	Professional		$58.08	$76.28	$76.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $43.62 / $76.28	Facility		$43.62	$43.62	$76.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $31.84 / $66.79	Professional		$31.84	$31.84	$66.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.18 / $76.28 / $144.93	Professional		$70.18	$76.28	$144.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $31.39 / $121.48	Facility		$31.39	$31.39	$121.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $36.07 / $68.80	Professional		$29.85	$36.07	$68.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $35.90 / $150.30	Professional		$27.30	$35.90	$150.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $43.62 / $76.28	Facility		$43.62	$43.62	$76.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $31.84 / $90.75	Professional		$31.84	$31.84	$90.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $54.53 / $72.59 / $72.59	Facility		$54.53	$72.59	$72.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $72.59 / $74.38	Professional		$54.53	$72.59	$74.38
United Facility/Professional Professional Modifier Low / Median / High Price $29.19 / $38.43 / $66.64	Professional		$29.19	$38.43	$66.64