Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $22.13 / $37.58	Facility		$11.26	$22.13	$37.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $17.55 / $24.89	Professional		$10.51	$17.55	$24.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,459.92 / $8,639.91 / $79,506.39	Facility		$8,459.92	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $25.06 / $40.10	Professional		$24.15	$25.06	$40.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $16.57 / $16.57	Facility		$16.57	$16.57	$16.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $21.35 / $37.65	Professional		$12.27	$21.35	$37.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.01 / $27.01 / $27.01	Facility		$27.01	$27.01	$27.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $37.11 / $49.89	Professional		$28.70	$37.11	$49.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $22.13 / $37.58	Facility		$11.26	$22.13	$37.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $21.60 / $44.26	Professional		$11.07	$21.60	$44.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $38.70 / $66.70	Professional		$12.45	$38.70	$66.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $16.57 / $19.36	Facility		$16.57	$16.57	$19.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.44 / $21.45 / $37.76	Professional		$12.44	$21.45	$37.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $16.98 / $19.12	Facility		$16.34	$16.98	$19.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $17.48	Professional		$16.98	$16.98	$17.48
United Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $26.98 / $43.21	Professional		$19.20	$26.98	$43.21