Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.87 / $52.87 / $104.16	Facility		$52.87	$52.87	$104.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $58.49 / $316.00	Professional		$40.92	$58.49	$316.00
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 $97.82 / $128.47 / $128.47	Professional		$97.82	$128.47	$128.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $66.37 / $104.55	Facility		$66.37	$66.37	$104.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $48.45 / $91.55	Professional		$48.45	$48.45	$91.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.19 / $104.55 / $198.65	Professional		$96.19	$104.55	$198.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $52.87 / $104.16 / $204.61	Facility		$52.87	$104.16	$204.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $61.87 / $316.00	Professional		$40.92	$61.87	$316.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $51.10 / $193.94	Professional		$40.00	$51.10	$193.94
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $66.37 / $104.55	Facility		$66.37	$66.37	$104.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $48.45 / $133.88	Professional		$48.45	$48.45	$133.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $61.40 / $61.40 / $122.28	Facility		$61.40	$61.40	$122.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $109.96 / $122.28	Professional		$61.40	$109.96	$122.28
United Facility/Professional Professional Modifier Low / Median / High Price $42.73 / $64.09 / $106.82	Professional		$42.73	$64.09	$106.82