Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.26 / $40.26 / $155.81	Facility		$40.26	$40.26	$155.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $42.63 / $58.52	Professional		$37.11	$42.63	$58.52
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 $68.66 / $90.16 / $90.16	Professional		$68.66	$90.16	$90.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $59.82 / $95.95	Facility		$59.82	$59.82	$95.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $43.67 / $84.02	Professional		$43.67	$43.67	$84.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.27 / $95.95 / $182.31	Professional		$88.27	$95.95	$182.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $40.26 / $40.26 / $155.81	Facility		$40.26	$40.26	$155.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $42.63 / $72.93	Professional		$37.54	$42.63	$72.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $130.90 / $189.00	Professional		$64.90	$130.90	$189.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $59.82 / $95.95	Facility		$59.82	$59.82	$95.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $43.67 / $107.25	Professional		$43.67	$43.67	$107.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $43.08 / $43.08 / $85.82	Facility		$43.08	$43.08	$85.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $85.82 / $91.33	Professional		$43.08	$85.82	$91.33
United Facility/Professional Facility Modifier Low / Median / High Price $102.18 / $120.21 / $144.25	Facility		$102.18	$120.21	$144.25
United Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $50.82 / $81.31	Professional		$42.34	$50.82	$81.31