Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.52 / $53.52 / $207.12	Facility		$53.52	$53.52	$207.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $59.60 / $73.84	Professional		$45.58	$59.60	$73.84
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 $99.03 / $130.06 / $130.06	Professional		$99.03	$130.06	$130.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $84.33 / $116.46	Facility		$84.33	$84.33	$116.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $61.56 / $101.98	Professional		$61.56	$61.56	$101.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.14 / $116.46 / $221.27	Professional		$107.14	$116.46	$221.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $53.52 / $53.52 / $207.12	Facility		$53.52	$53.52	$207.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $61.50 / $88.03	Professional		$45.58	$61.50	$88.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $158.80 / $229.50	Professional		$78.80	$158.80	$229.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $84.33 / $116.46	Facility		$84.33	$84.33	$116.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $61.56 / $138.75	Professional		$61.56	$61.56	$138.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $62.14 / $123.79	Facility		$62.14	$62.14	$123.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $113.93 / $123.79	Professional		$62.14	$113.93	$123.79
United Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $64.88 / $116.46	Professional		$47.65	$64.88	$116.46