Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.51 / $10.51 / $16.68	Facility		$10.51	$10.51	$16.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $13.13 / $20.14	Professional		$7.66	$13.13	$20.14
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 $16.30 / $21.42 / $21.42	Professional		$16.30	$21.42	$21.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $15.15 / $28.96	Facility		$15.15	$15.15	$28.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $17.82	Professional		$12.88	$12.88	$17.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $21.42 / $40.70	Professional		$19.71	$21.42	$40.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.51 / $10.51 / $16.68	Facility		$10.51	$10.51	$16.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $13.13 / $22.07	Professional		$7.45	$13.13	$22.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $29.20 / $42.20	Professional		$16.00	$29.20	$42.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $15.15 / $28.96	Facility		$15.15	$15.15	$28.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $29.25	Professional		$12.88	$12.88	$29.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.31 / $20.39 / $20.39	Facility		$15.31	$20.39	$20.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $20.39 / $23.99	Professional		$15.31	$20.39	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $11.52 / $19.32	Professional		$8.23	$11.52	$19.32