Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.01 / $84.12 / $137.81	Facility		$25.01	$84.12	$137.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $25.01 / $30.26	Professional		$16.94	$25.01	$30.26
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 $21.93 / $21.93 / $21.93	Professional		$21.93	$21.93	$21.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.92 / $35.04 / $102.14	Facility		$0.92	$35.04	$102.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $19.07 / $46.12	Professional		$9.84	$19.07	$46.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $22.86 / $22.86	Professional		$22.86	$22.86	$22.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.26 / $84.12 / $137.81	Facility		$30.26	$84.12	$137.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $25.01 / $37.52	Professional		$19.21	$25.01	$37.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $32.29	Professional		$32.29	$32.29	$32.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $35.04 / $102.14	Facility		$1.12	$35.04	$102.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $19.68 / $45.38	Professional		$9.84	$19.68	$45.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $14.78 / $14.78	Facility		$14.78	$14.78	$14.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $14.78 / $14.78	Professional		$14.78	$14.78	$14.78
United Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $17.39 / $34.97	Professional		$10.53	$17.39	$34.97