Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.37 / $78.30 / $115.52	Facility		$22.37	$78.30	$115.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $21.84 / $27.08	Professional		$15.36	$21.84	$27.08
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 $20.71 / $20.71 / $20.71	Professional		$20.71	$20.71	$20.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $31.32 / $91.27	Facility		$0.83	$31.32	$91.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $18.35 / $43.30	Professional		$9.84	$18.35	$43.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $67.66 / $67.66 / $67.66	Facility		$67.66	$67.66	$67.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $28.35 / $54.45	Professional		$22.55	$28.35	$54.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.79 / $78.30 / $120.80	Facility		$29.79	$78.30	$120.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $21.84 / $33.56	Professional		$17.17	$21.84	$33.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $175.20 / $175.20	Professional		$28.70	$175.20	$175.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $31.32 / $91.27	Facility		$1.02	$31.32	$91.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $19.68 / $41.21	Professional		$9.84	$19.68	$41.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $20.62 / $21.24	Facility		$20.62	$20.62	$21.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $20.62 / $21.24	Professional		$20.62	$20.62	$21.24
United Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $14.72 / $31.25	Professional		$8.50	$14.72	$31.25