Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.96 / $28.96 / $45.97	Facility		$28.96	$28.96	$45.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $36.20 / $45.97	Professional		$25.80	$36.20	$45.97
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 $59.05 / $59.05 / $59.05	Professional		$59.05	$59.05	$59.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.03 / $73.03 / $73.03	Facility		$73.03	$73.03	$73.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $25.43 / $25.43	Professional		$21.50	$25.43	$25.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $79.95 / $85.62	Professional		$62.00	$79.95	$85.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.96 / $28.96 / $45.97	Facility		$28.96	$28.96	$45.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $36.20 / $51.61	Professional		$26.80	$36.20	$51.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $84.20 / $116.30	Professional		$44.10	$84.20	$116.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $73.03 / $73.03 / $73.03	Facility		$73.03	$73.03	$73.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $25.43 / $25.43	Professional		$21.50	$25.43	$25.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.22 / $56.21 / $56.21	Facility		$42.22	$56.21	$56.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $56.21 / $56.21	Professional		$42.22	$56.21	$56.21
United Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $29.59 / $49.10	Professional		$25.15	$29.59	$49.10