Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $26.46 / $102.40	Facility		$26.46	$26.46	$102.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $28.93 / $38.40	Professional		$23.19	$28.93	$38.40
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 $45.12 / $59.25 / $59.25	Professional		$45.12	$59.25	$59.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $37.03 / $59.25	Facility		$37.03	$37.03	$59.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $27.03 / $51.88	Professional		$27.03	$27.03	$51.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.51 / $59.25 / $112.58	Professional		$54.51	$59.25	$112.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $26.46 / $102.40	Facility		$26.46	$26.46	$102.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $28.93 / $46.03	Professional		$23.19	$28.93	$46.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $80.80 / $116.70	Professional		$40.10	$80.80	$116.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $37.03 / $59.25	Facility		$37.03	$37.03	$59.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $27.03 / $68.63	Professional		$27.03	$27.03	$68.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $28.31 / $56.40	Facility		$28.31	$28.31	$56.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $56.40 / $56.40	Professional		$28.31	$56.40	$56.40
United Facility/Professional Professional Modifier Low / Median / High Price $27.83 / $34.72 / $53.44	Professional		$27.83	$34.72	$53.44