Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.63 / $31.63 / $122.41	Facility		$31.63	$31.63	$122.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.49 / $37.74	Professional		$22.91	$33.49	$37.74
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 $53.92 / $70.81 / $70.81	Professional		$53.92	$70.81	$70.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.25 / $37.25 / $58.54	Facility		$37.25	$37.25	$58.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $27.19 / $51.26	Professional		$27.19	$27.19	$51.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $58.54 / $111.23	Professional		$53.86	$58.54	$111.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $31.63 / $31.63 / $122.41	Facility		$31.63	$31.63	$122.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.49 / $42.70	Professional		$22.91	$33.49	$42.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $79.90 / $115.30	Professional		$39.60	$79.90	$115.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $37.25 / $37.25 / $58.54	Facility		$37.25	$37.25	$58.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $27.19 / $85.88	Professional		$27.19	$27.19	$85.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $33.86 / $67.40	Facility		$33.86	$33.86	$67.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $67.40 / $68.75	Professional		$33.86	$67.40	$68.75
United Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $38.76 / $58.88	Professional		$29.21	$38.76	$58.88