Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.55 / $46.55 / $180.15	Facility		$46.55	$46.55	$180.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.26 / $53.48 / $71.26	Professional		$44.26	$53.48	$71.26
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 $86.13 / $113.11 / $113.11	Professional		$86.13	$113.11	$113.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $113.11	Facility		$70.70	$70.70	$113.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $51.62 / $99.04	Professional		$51.62	$51.62	$99.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.06 / $113.11 / $214.91	Professional		$104.06	$113.11	$214.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $46.55 / $46.55 / $180.15	Facility		$46.55	$46.55	$180.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $44.26 / $54.47 / $75.80	Professional		$44.26	$54.47	$75.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.50 / $183.20 / $222.80	Professional		$58.50	$183.20	$222.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $113.11	Facility		$70.70	$70.70	$113.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $51.62 / $134.25	Professional		$51.62	$51.62	$134.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $107.66 / $107.66 / $107.66	Facility		$107.66	$107.66	$107.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.66 / $107.66 / $110.21	Professional		$107.66	$107.66	$110.21
United Facility/Professional Professional Modifier Low / Median / High Price $44.54 / $57.53 / $98.82	Professional		$44.54	$57.53	$98.82