Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $20.30 / $78.56	Facility		$20.30	$20.30	$78.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $22.46 / $27.28	Professional		$19.30	$22.46	$27.28
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 $37.57 / $49.34 / $49.34	Professional		$37.57	$49.34	$49.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.84 / $33.84 / $49.34	Facility		$33.84	$33.84	$49.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $43.20	Professional		$24.70	$24.70	$43.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.39 / $49.34 / $93.75	Professional		$45.39	$49.34	$93.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $20.30 / $78.56	Facility		$20.30	$20.30	$78.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $23.33 / $32.07	Professional		$19.30	$23.33	$32.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.20 / $70.40 / $97.20	Professional		$61.20	$70.40	$97.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $33.84 / $33.84 / $49.34	Facility		$33.84	$33.84	$49.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $58.50	Professional		$24.70	$24.70	$58.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.28 / $46.96 / $46.96	Facility		$35.28	$46.96	$46.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $46.96 / $48.10	Professional		$35.28	$46.96	$48.10
United Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $24.61 / $41.02	Professional		$18.67	$24.61	$41.02