Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.71 / $242.71 / $242.71	Facility		$242.71	$242.71	$242.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.71 / $242.71 / $292.31	Professional		$242.71	$242.71	$292.31
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 $35.32 / $36.65 / $36.65	Professional		$35.32	$36.65	$36.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.39 / $263.39 / $263.39	Facility		$263.39	$263.39	$263.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $116.04 / $116.04	Professional		$116.04	$116.04	$116.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $242.71 / $242.71 / $242.71	Facility		$242.71	$242.71	$242.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $242.71 / $242.71 / $292.31	Professional		$242.71	$242.71	$292.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $900.00 / $900.00	Professional		$900.00	$900.00	$900.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $263.39 / $263.39 / $263.39	Facility		$263.39	$263.39	$263.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $116.04 / $116.04	Professional		$116.04	$116.04	$116.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $49.90 / $49.90 / $49.90	Facility		$49.90	$49.90	$49.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.90 / $49.90 / $49.90	Professional		$49.90	$49.90	$49.90
United Facility/Professional Professional Modifier Low / Median / High Price $57.70 / $57.70 / $57.70	Professional		$57.70	$57.70	$57.70