Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.15 / $36.15 / $45.19	Facility		$36.15	$36.15	$45.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $45.19 / $82.02	Professional		$36.15	$45.19	$82.02
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 $73.73 / $73.73 / $73.73	Professional		$73.73	$73.73	$73.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.40 / $86.40 / $86.40	Facility		$86.40	$86.40	$86.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $99.83 / $106.91	Professional		$77.42	$99.83	$106.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $36.15 / $36.15 / $45.19	Facility		$36.15	$36.15	$45.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $45.57 / $92.34	Professional		$36.15	$45.57	$92.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $109.90 / $145.30	Professional		$90.70	$109.90	$145.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $86.40 / $86.40 / $86.40	Facility		$86.40	$86.40	$86.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $70.18 / $70.18	Facility		$43.19	$70.18	$70.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $70.18 / $70.18	Professional		$43.19	$70.18	$70.18
United Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $36.79 / $63.83	Professional		$26.06	$36.79	$63.83