Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.63 / $48.63 / $188.20	Facility		$48.63	$48.63	$188.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $53.80 / $68.54	Professional		$46.24	$53.80	$68.54
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 $89.97 / $118.15 / $118.15	Professional		$89.97	$118.15	$118.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.30 / $81.30 / $118.15	Facility		$81.30	$81.30	$118.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $59.35 / $103.46	Professional		$59.35	$59.35	$103.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $108.70 / $118.15 / $224.49	Professional		$108.70	$118.15	$224.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $48.63 / $48.63 / $188.20	Facility		$48.63	$48.63	$188.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $56.89 / $106.56	Professional		$46.24	$56.89	$106.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $146.50 / $168.50 / $232.80	Professional		$146.50	$168.50	$232.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $81.30 / $81.30 / $118.15	Facility		$81.30	$81.30	$118.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $59.35 / $140.25	Professional		$59.35	$59.35	$140.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $84.46 / $112.46 / $112.46	Facility		$84.46	$112.46	$112.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $84.46 / $112.46 / $115.22	Professional		$84.46	$112.46	$115.22
United Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $58.94 / $106.54	Professional		$44.96	$58.94	$106.54