Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $20.45 / $1,359.00	Facility		$20.45	$20.45	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $19.59 / $31.63	Professional		$17.00	$19.59	$31.63
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 $18.51 / $19.21 / $57.38	Professional		$18.51	$19.21	$57.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $569.44 / $1,296.51	Facility		$21.32	$569.44	$1,296.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $32.71 / $53.36	Professional		$18.32	$32.71	$53.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $39.97 / $39.97	Facility		$39.97	$39.97	$39.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $26.41 / $37.65	Professional		$20.20	$26.41	$37.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $746.12 / $1,812.00	Facility		$20.45	$746.12	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $20.10 / $37.40	Professional		$17.25	$20.10	$37.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $47.70 / $74.09	Professional		$18.47	$47.70	$74.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $510.45 / $1,079.54	Facility		$21.32	$510.45	$1,079.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $32.71 / $53.58	Professional		$18.05	$32.71	$53.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $18.60 / $32.29	Facility		$18.60	$18.60	$32.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $18.73 / $32.29	Professional		$18.00	$18.73	$32.29
United Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $23.99 / $40.86	Professional		$16.87	$23.99	$40.86