Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $71.12	Professional		$20.00	$20.00	$71.12
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 $158.33 / $186.27 / $186.27	Professional		$158.33	$186.27	$186.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $73.00 / $189.75	Professional		$73.00	$73.00	$189.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $71.12	Professional		$20.00	$20.00	$71.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.60 / $129.60 / $129.60	Professional		$129.60	$129.60	$129.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $73.00 / $189.75	Professional		$73.00	$73.00	$189.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $85.59 / $85.59 / $85.59	Facility		$85.59	$85.59	$85.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $85.59 / $85.59	Professional		$85.59	$85.59	$85.59
United Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $230.00 / $230.00	Professional		$230.00	$230.00	$230.00