Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.85 / $25.85 / $100.04	Facility		$25.85	$25.85	$100.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $28.60 / $36.43	Professional		$24.58	$28.60	$36.43
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 $47.83 / $62.81 / $62.81	Professional		$47.83	$62.81	$62.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $38.36 / $62.81	Facility		$38.36	$38.36	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $28.00 / $55.00	Professional		$28.00	$28.00	$55.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $62.81 / $119.34	Professional		$57.79	$62.81	$119.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.85 / $25.85 / $100.04	Facility		$25.85	$25.85	$100.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $29.70 / $56.67	Professional		$24.58	$29.70	$56.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.90 / $89.60 / $123.80	Professional		$77.90	$89.60	$123.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $38.36 / $62.81	Facility		$38.36	$38.36	$62.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $28.00 / $74.63	Professional		$28.00	$28.00	$74.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $44.90 / $59.79 / $59.79	Facility		$44.90	$59.79	$59.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.90 / $59.79 / $61.27	Professional		$44.90	$59.79	$61.27
United Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $31.34 / $56.64	Professional		$23.74	$31.34	$56.64