Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.20 / $49.20 / $190.40	Facility		$49.20	$49.20	$190.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.12 / $52.09 / $71.76	Professional		$43.12	$52.09	$71.76
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 $83.89 / $110.17 / $110.17	Professional		$83.89	$110.17	$110.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $68.84 / $110.17	Facility		$68.84	$68.84	$110.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $143.63	Professional		$50.25	$50.25	$143.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $101.36 / $110.17 / $209.32	Professional		$101.36	$110.17	$209.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $49.20 / $49.20 / $190.40	Facility		$49.20	$49.20	$190.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.12 / $52.09 / $87.41	Professional		$43.12	$52.09	$87.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $150.30 / $217.10	Professional		$74.59	$150.30	$217.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $68.84 / $110.17	Facility		$68.84	$68.84	$110.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $143.63	Professional		$50.25	$50.25	$143.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $52.64 / $52.64 / $104.86	Facility		$52.64	$52.64	$104.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $104.86 / $106.96	Professional		$52.64	$104.86	$106.96
United Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $65.38 / $99.35	Professional		$51.53	$65.38	$99.35