Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.01 / $32.01 / $123.88	Facility		$32.01	$32.01	$123.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $33.89 / $40.90	Professional		$25.11	$33.89	$40.90
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 $54.58 / $71.67 / $71.67	Professional		$54.58	$71.67	$71.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $48.15 / $64.15	Facility		$48.15	$48.15	$64.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $35.15 / $56.18	Professional		$35.15	$35.15	$56.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.02 / $64.15 / $121.89	Professional		$59.02	$64.15	$121.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.01 / $32.01 / $123.88	Facility		$32.01	$32.01	$123.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $33.89 / $47.86	Professional		$25.11	$33.89	$47.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $87.50 / $126.40	Professional		$43.40	$87.50	$126.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $48.15 / $64.15	Facility		$48.15	$48.15	$64.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $35.15 / $86.25	Professional		$35.15	$35.15	$86.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $34.25 / $34.25 / $68.22	Facility		$34.25	$34.25	$68.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $68.22 / $69.58	Professional		$34.25	$68.22	$69.58
United Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $40.39 / $64.15	Professional		$32.31	$40.39	$64.15