Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.94 / $36.94 / $142.96	Facility		$36.94	$36.94	$142.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $40.86 / $49.64	Professional		$35.13	$40.86	$49.64
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 $68.34 / $89.75 / $89.75	Professional		$68.34	$89.75	$89.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.32 / $51.32 / $89.75	Facility		$51.32	$51.32	$89.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $37.46 / $78.59	Professional		$37.46	$37.46	$78.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $89.75 / $170.53	Professional		$82.57	$89.75	$170.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $36.94 / $36.94 / $142.96	Facility		$36.94	$36.94	$142.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $43.21 / $57.77	Professional		$35.13	$43.21	$57.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.30 / $128.00 / $176.80	Professional		$111.30	$128.00	$176.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $51.32 / $51.32 / $89.75	Facility		$51.32	$51.32	$89.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $37.46 / $106.50	Professional		$37.46	$37.46	$106.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $85.43 / $85.43	Facility		$64.17	$85.43	$85.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $85.43 / $87.50	Professional		$64.17	$85.43	$87.50
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $44.78 / $80.94	Professional		$37.04	$44.78	$80.94