Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.05 / $41.05 / $51.32	Facility		$41.05	$41.05	$51.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $51.32 / $69.33	Professional		$36.53	$51.32	$69.33
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 $83.72 / $83.72 / $83.72	Professional		$83.72	$83.72	$83.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $34.15	Professional		$34.15	$34.15	$34.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.91 / $113.36 / $121.39	Professional		$87.91	$113.36	$121.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.05 / $41.05 / $51.32	Facility		$41.05	$41.05	$51.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $51.32 / $70.23	Professional		$29.79	$51.32	$70.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $124.90 / $164.90	Professional		$103.00	$124.90	$164.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $34.15	Professional		$34.15	$34.15	$34.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $49.08 / $79.69 / $79.69	Facility		$49.08	$79.69	$79.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $79.69 / $79.69	Professional		$49.08	$79.69	$79.69
United Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $41.77 / $69.61	Professional		$35.50	$41.77	$69.61