Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $13.05 / $20.73	Facility		$13.05	$13.05	$20.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $16.32 / $20.32	Professional		$10.67	$16.32	$20.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $25.19 / $25.19	Professional		$25.19	$25.19	$25.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $29.35 / $29.35	Facility		$29.35	$29.35	$29.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $15.09	Professional		$15.09	$15.09	$15.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.45 / $34.11 / $36.53	Professional		$26.45	$34.11	$36.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $13.05 / $20.73	Facility		$13.05	$13.05	$20.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $16.32 / $20.73	Professional		$11.64	$16.32	$20.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $52.40 / $52.40	Professional		$43.10	$52.40	$52.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $29.35 / $29.35	Facility		$29.35	$29.35	$29.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $15.09	Professional		$15.09	$15.09	$15.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.34 / $25.41 / $25.41	Facility		$21.34	$25.41	$25.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $25.41 / $25.41	Professional		$21.34	$25.41	$25.41
United Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $14.07 / $23.45	Professional		$11.64	$14.07	$23.45