Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $20.92 / $80.95	Facility		$20.92	$20.92	$80.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $23.15 / $28.13	Professional		$19.89	$23.15	$28.13
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 $38.71 / $50.84 / $50.84	Professional		$38.71	$50.84	$50.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $36.33 / $50.84	Facility		$36.33	$36.33	$50.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $26.52 / $60.38	Professional		$26.52	$26.52	$60.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $50.84 / $96.60	Professional		$46.77	$50.84	$96.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $20.92 / $80.95	Facility		$20.92	$20.92	$80.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $24.04 / $33.06	Professional		$19.89	$24.04	$33.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $72.50 / $100.20	Professional		$63.00	$72.50	$100.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $36.33 / $50.84	Facility		$36.33	$36.33	$50.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $26.52 / $60.98	Professional		$26.52	$26.52	$60.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $36.35 / $48.39 / $48.39	Facility		$36.35	$48.39	$48.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $48.39 / $49.61	Professional		$36.35	$48.39	$49.61
United Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $23.01 / $26.87	Facility		$17.89	$23.01	$26.87
United Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $25.37 / $45.85	Professional		$19.46	$25.37	$45.85