Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $75.81 / $388.41	Facility		$17.89	$75.81	$388.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $17.89 / $21.66	Professional		$12.18	$17.89	$21.66
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 $12.24 / $12.24 / $12.24	Professional		$12.24	$12.24	$12.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $24.98 / $72.80	Facility		$0.66	$24.98	$72.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $13.88 / $32.86	Professional		$7.01	$13.88	$32.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $36.08 / $36.08 / $36.08	Facility		$36.08	$36.08	$36.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $16.43 / $29.03	Professional		$12.03	$16.43	$29.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $34.54 / $34.54	Facility		$34.54	$34.54	$34.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.83 / $64.98 / $388.41	Facility		$23.83	$64.98	$388.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $17.89 / $26.85	Professional		$13.68	$17.89	$26.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $50.40 / $50.40	Professional		$23.20	$50.40	$50.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $24.98 / $72.80	Facility		$0.81	$24.98	$72.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $13.92 / $31.31	Professional		$7.01	$13.92	$31.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $12.24 / $12.61	Facility		$12.24	$12.24	$12.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $12.24 / $12.61	Professional		$12.24	$12.24	$12.61
United Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $10.96 / $23.48	Professional		$6.41	$10.96	$23.48