Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $32.74 / $126.70	Facility		$32.74	$32.74	$126.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $35.95 / $44.58	Professional		$32.74	$35.95	$44.58
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 $55.83 / $73.31 / $73.31	Professional		$55.83	$73.31	$73.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $45.81 / $96.46	Facility		$45.81	$45.81	$96.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $33.44 / $85.50	Professional		$33.44	$33.44	$85.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.94 / $97.76 / $185.74	Professional		$89.94	$97.76	$185.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $32.74 / $126.70	Facility		$32.74	$32.74	$126.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $35.95 / $59.59	Professional		$32.10	$35.95	$59.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $133.30 / $192.60	Professional		$66.09	$133.30	$192.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $45.81 / $96.46	Facility		$45.81	$45.81	$96.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $33.44 / $85.50	Professional		$33.44	$33.44	$85.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.03 / $35.03 / $69.79	Facility		$35.03	$35.03	$69.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.03 / $69.79 / $93.05	Professional		$35.03	$69.79	$93.05
United Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $42.52 / $67.66	Professional		$34.43	$42.52	$67.66