Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.18 / $350.00 / $784.00	Facility		$115.18	$350.00	$784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.96 / $126.84 / $167.28	Professional		$97.96	$126.84	$167.28
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 $106.85 / $125.71 / $125.71	Professional		$106.85	$125.71	$125.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $303.29 / $363.38	Professional		$33.15	$303.29	$363.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $150.88 / $350.00 / $651.00	Facility		$150.88	$350.00	$651.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.96 / $126.84 / $179.70	Professional		$97.96	$126.84	$179.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $209.90 / $209.90 / $209.90	Facility		$209.90	$209.90	$209.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $209.90 / $209.90 / $243.50	Professional		$209.90	$209.90	$243.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $303.29 / $363.38	Professional		$33.15	$303.29	$363.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $160.68 / $160.68 / $160.68	Facility		$160.68	$160.68	$160.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $160.68 / $160.68 / $160.68	Professional		$160.68	$160.68	$160.68