Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $35.40 / $1,359.00	Facility		$18.87	$35.40	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $25.03 / $41.50	Professional		$15.97	$25.03	$41.50
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 $35.65 / $40.03 / $60.58	Professional		$35.65	$40.03	$60.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.51 / $57.14 / $137.69	Facility		$28.51	$57.14	$137.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $31.90 / $65.38	Professional		$17.07	$31.90	$65.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.43 / $60.06 / $79.56	Professional		$41.43	$60.06	$79.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $41.50 / $1,812.00	Facility		$18.87	$41.50	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $30.75 / $49.86	Professional		$16.57	$30.75	$49.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $28.10 / $80.00	Professional		$28.10	$28.10	$80.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $28.51 / $28.51 / $123.20	Facility		$28.51	$28.51	$123.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $32.50 / $67.05	Professional		$17.43	$32.50	$67.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.75 / $17.38 / $36.99	Facility		$13.75	$17.38	$36.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $18.64 / $39.85	Professional		$16.73	$18.64	$39.85
United Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $38.25 / $66.69	Professional		$26.88	$38.25	$66.69