Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $34.04 / $36.04	Facility		$34.04	$34.04	$36.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $36.04 / $46.43	Professional		$29.83	$36.04	$46.43
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 $58.04 / $76.23 / $76.23	Professional		$58.04	$76.23	$76.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $62.01 / $76.23	Facility		$62.01	$62.01	$76.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $52.71 / $66.73	Professional		$52.71	$52.71	$66.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $76.23 / $144.84	Professional		$70.13	$76.23	$144.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $34.04 / $34.04	Facility		$34.04	$34.04	$34.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $36.04 / $52.52	Professional		$29.83	$36.04	$52.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $108.70 / $150.19	Professional		$94.50	$108.70	$150.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $62.01 / $76.23	Facility		$62.01	$62.01	$76.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $52.71 / $90.38	Professional		$52.71	$52.71	$90.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $54.49 / $72.55 / $72.55	Facility		$54.49	$72.55	$72.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.49 / $72.55 / $74.33	Professional		$54.49	$72.55	$74.33
United Facility/Professional Facility Modifier Low / Median / High Price $26.82 / $46.00 / $52.45	Facility		$26.82	$46.00	$52.45
United Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $42.46 / $66.59	Professional		$34.36	$42.46	$66.59