Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $28.63 / $28.63	Facility		$23.87	$28.63	$28.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $24.63 / $33.09	Professional		$14.32	$24.63	$33.09
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 $2.70 / $2.80 / $4.59	Professional		$2.70	$2.80	$4.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $40.54 / $40.54	Facility		$40.54	$40.54	$40.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.21 / $58.10 / $169.95	Professional		$46.21	$58.10	$169.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $51.96 / $83.36	Professional		$13.77	$51.96	$83.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.63 / $28.63 / $28.63	Facility		$28.63	$28.63	$28.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $24.63 / $31.59	Professional		$14.32	$24.63	$31.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $39.86 / $65.51	Professional		$33.71	$39.86	$65.51
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $40.54 / $40.54	Facility		$40.54	$40.54	$40.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $46.21 / $58.10 / $169.95	Professional		$46.21	$58.10	$169.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $9.55 / $9.55	Facility		$2.24	$9.55	$9.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $9.74 / $37.89	Professional		$2.24	$9.74	$37.89
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.32 / $19.45	Professional		$2.29	$3.32	$19.45