Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $18.46 / $29.31	Facility		$18.46	$18.46	$29.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $23.08 / $30.63	Professional		$13.10	$23.08	$30.63
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 $28.67 / $37.65 / $37.65	Professional		$28.67	$37.65	$37.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $19.37 / $46.50	Facility		$19.37	$19.37	$46.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.46 / $19.95	Professional		$16.19	$16.46	$19.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.51 / $39.68 / $75.39	Professional		$36.51	$39.68	$75.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $18.46 / $29.31	Facility		$18.46	$18.46	$29.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $23.08 / $37.53	Professional		$16.37	$23.08	$37.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $51.40 / $74.20	Professional		$28.10	$51.40	$74.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $19.37 / $46.50	Facility		$19.37	$19.37	$46.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.46 / $28.04	Professional		$16.19	$16.46	$28.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $35.84 / $35.84	Facility		$26.92	$35.84	$35.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.84 / $37.77	Professional		$26.92	$35.84	$37.77
United Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $19.30 / $33.96	Professional		$13.93	$19.30	$33.96