Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.28 / $48.28 / $51.12	Facility		$48.28	$48.28	$51.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.31 / $51.12 / $65.90	Professional		$42.31	$51.12	$65.90
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 $82.32 / $108.11 / $108.11	Professional		$82.32	$108.11	$108.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.96 / $87.96 / $108.11	Facility		$87.96	$87.96	$108.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $74.77 / $94.66	Professional		$74.77	$74.77	$94.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.46 / $108.11 / $205.41	Professional		$99.46	$108.11	$205.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $48.28 / $48.28 / $48.28	Facility		$48.28	$48.28	$48.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.31 / $51.12 / $74.48	Professional		$42.31	$51.12	$74.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $154.10 / $213.00	Professional		$134.00	$154.10	$213.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $87.96 / $87.96 / $108.11	Facility		$87.96	$87.96	$108.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $74.77 / $128.25	Professional		$74.77	$74.77	$128.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $102.90 / $102.90	Facility		$77.29	$102.90	$102.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $102.90 / $105.42	Professional		$77.29	$102.90	$105.42
United Facility/Professional Professional Modifier Low / Median / High Price $49.38 / $64.87 / $97.49	Professional		$49.38	$64.87	$97.49