Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.23 / $42.23 / $163.43	Facility		$42.23	$42.23	$163.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $48.52 / $68.29	Professional		$42.00	$48.52	$68.29
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 $78.14 / $102.62 / $102.62	Professional		$78.14	$102.62	$102.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $121.08	Facility		$66.72	$66.72	$121.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $48.71 / $106.02	Professional		$48.71	$48.71	$106.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $111.39 / $121.08 / $230.05	Professional		$111.39	$121.08	$230.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.23 / $42.23 / $163.43	Facility		$42.23	$42.23	$163.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $48.52 / $76.33	Professional		$42.00	$48.52	$76.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $165.10 / $238.50	Professional		$82.00	$165.10	$238.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $121.08	Facility		$66.72	$66.72	$121.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $48.71 / $118.13	Professional		$48.71	$48.71	$118.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $49.04 / $49.04 / $97.67	Facility		$49.04	$49.04	$97.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $97.67 / $115.24	Professional		$49.04	$97.67	$115.24
United Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $61.98 / $61.98	Facility		$61.98	$61.98	$61.98
United Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $52.73 / $89.65	Professional		$42.30	$52.73	$89.65