Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $26.67 / $103.21	Facility		$26.67	$26.67	$103.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $28.11 / $36.38	Professional		$26.07	$28.11	$36.38
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 $45.47 / $59.72 / $59.72	Professional		$45.47	$59.72	$59.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $35.97 / $70.93	Facility		$35.97	$35.97	$70.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $26.26 / $62.11	Professional		$26.26	$26.26	$62.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $70.93 / $134.77	Professional		$65.26	$70.93	$134.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $26.67 / $103.21	Facility		$26.67	$26.67	$103.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $28.24 / $45.49	Professional		$26.07	$28.24	$45.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $96.80 / $139.69	Professional		$48.00	$96.80	$139.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $35.97 / $70.93	Facility		$35.97	$35.97	$70.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $26.26 / $66.75	Professional		$26.26	$26.26	$66.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.54 / $28.54 / $56.84	Facility		$28.54	$28.54	$56.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $56.84 / $67.51	Professional		$28.54	$56.84	$67.51
United Facility/Professional Professional Modifier Low / Median / High Price $27.92 / $35.83 / $53.84	Professional		$27.92	$35.83	$53.84