Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $12.44 / $19.75	Facility		$12.44	$12.44	$19.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $15.55 / $20.69	Professional		$8.83	$15.55	$20.69
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 $19.32 / $25.37 / $25.37	Professional		$19.32	$25.37	$25.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $15.54 / $30.32	Facility		$15.54	$15.54	$30.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $13.21 / $16.01	Professional		$10.56	$13.21	$16.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $25.88 / $49.17	Professional		$23.81	$25.88	$49.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $12.44 / $19.75	Facility		$12.44	$12.44	$19.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $15.55 / $24.47	Professional		$10.68	$15.55	$24.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $34.60 / $50.00	Professional		$18.89	$34.60	$50.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $15.54 / $30.32	Facility		$15.54	$15.54	$30.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $13.21 / $18.29	Professional		$10.56	$13.21	$18.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $24.15 / $24.15	Facility		$18.14	$24.15	$24.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $24.15 / $24.63	Professional		$18.14	$24.15	$24.63
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $11.78 / $16.48	Facility		$8.71	$11.78	$16.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $12.66 / $22.17	Professional		$9.09	$12.66	$22.17