Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $29.98 / $37.47	Facility		$29.98	$29.98	$37.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $37.47 / $91.59	Professional		$29.98	$37.47	$91.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $61.14 / $61.14	Professional		$61.14	$61.14	$61.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.65 / $71.65 / $71.65	Facility		$71.65	$71.65	$71.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $24.95	Professional		$24.95	$24.95	$24.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $82.78 / $88.65	Professional		$64.20	$82.78	$88.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $29.98 / $37.47	Facility		$29.98	$29.98	$37.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $37.79 / $91.59	Professional		$29.98	$37.79	$91.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $91.20 / $120.50	Professional		$75.20	$91.20	$120.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $71.65 / $71.65 / $71.65	Facility		$71.65	$71.65	$71.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $24.95	Professional		$24.95	$24.95	$24.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.82 / $58.20 / $58.20	Facility		$35.82	$58.20	$58.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.82 / $58.20 / $58.20	Professional		$35.82	$58.20	$58.20
United Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $30.50 / $52.93	Professional		$23.28	$30.50	$52.93