Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.36 / $46.36 / $179.41	Facility		$46.36	$46.36	$179.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $46.36 / $52.61	Professional		$35.53	$46.36	$52.61
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 $79.04 / $103.80 / $103.80	Professional		$79.04	$103.80	$103.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $50.36 / $90.79	Facility		$50.36	$50.36	$90.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $36.76 / $79.48	Professional		$36.76	$36.76	$79.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $90.79 / $172.50	Professional		$83.53	$90.79	$172.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $46.36 / $46.36 / $179.41	Facility		$46.36	$46.36	$179.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $46.36 / $62.58	Professional		$35.53	$46.36	$62.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $123.80 / $178.90	Professional		$61.40	$123.80	$178.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $50.36 / $90.79	Facility		$50.36	$50.36	$90.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $36.76 / $90.38	Professional		$36.76	$36.76	$90.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $49.60 / $49.60 / $98.80	Facility		$49.60	$49.60	$98.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.60 / $86.41 / $98.80	Professional		$49.60	$86.41	$98.80
United Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $54.25 / $90.69	Professional		$43.88	$54.25	$90.69