Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $75.11 / $103.02	Facility		$23.43	$75.11	$103.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $21.79 / $25.23	Professional		$19.59	$21.79	$25.23
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 $21.69 / $22.51 / $39.00	Professional		$21.69	$22.51	$39.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $23.08 / $41.00	Professional		$18.23	$23.08	$41.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $31.71 / $32.36	Professional		$24.66	$31.71	$32.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $24.53 / $69.98 / $103.02	Facility		$24.53	$69.98	$103.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $22.66 / $88.63	Professional		$19.59	$22.66	$88.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $29.10 / $30.40	Professional		$29.10	$29.10	$30.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $32.18 / $32.18 / $32.18	Facility		$32.18	$32.18	$32.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $23.53 / $45.60	Professional		$18.66	$23.53	$45.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $22.00 / $22.00	Facility		$19.82	$22.00	$22.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $22.00 / $22.00	Professional		$19.82	$22.00	$22.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $22.60 / $41.96	Professional		$18.00	$22.60	$41.96