Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.73 / $25.72 / $33.40	Facility		$11.73	$25.72	$33.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $13.97 / $15.84	Professional		$11.10	$13.97	$15.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $57,255.43 / $79,506.39	Facility		$5,000.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $18.88 / $30.97	Professional		$16.05	$18.88	$30.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Facility		$21.25	$21.25	$21.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $66.00 / $114.99	Professional		$12.62	$66.00	$114.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $94.00	Professional		$45.00	$45.00	$94.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $21.94 / $42.46	Facility		$12.00	$21.94	$42.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $14.40 / $18.05	Professional		$11.10	$14.40	$18.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $21.20 / $24.40	Professional		$20.10	$21.20	$24.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Facility		$21.25	$21.25	$21.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $80.01 / $114.99	Professional		$12.71	$80.01	$114.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $19.11	Facility		$17.78	$17.78	$19.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $17.78 / $19.11	Professional		$17.41	$17.78	$19.11
United Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $55.00 / $65.00	Professional		$20.99	$55.00	$65.00