Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.75 / $21.75 / $34.53	Facility		$21.75	$21.75	$34.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $23.93 / $40.59	Professional		$15.43	$23.93	$40.59
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 $33.78 / $44.36 / $44.36	Professional		$33.78	$44.36	$44.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.66 / $26.66 / $48.22	Facility		$26.66	$26.66	$48.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $22.66 / $32.93	Professional		$22.66	$22.66	$32.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.81 / $44.36 / $84.28	Professional		$40.81	$44.36	$84.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.38 / $109.38 / $109.38	Facility		$109.38	$109.38	$109.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.75 / $21.75 / $34.53	Facility		$21.75	$21.75	$34.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $23.93 / $40.59	Professional		$12.15	$23.93	$40.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $33.10 / $87.40	Professional		$16.70	$33.10	$87.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $26.66 / $26.66 / $48.22	Facility		$26.66	$26.66	$48.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $22.66 / $43.88	Professional		$22.66	$22.66	$43.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $31.72 / $42.22 / $42.22	Facility		$31.72	$42.22	$42.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $42.22 / $42.22	Professional		$31.72	$42.22	$42.22
United Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $22.13 / $44.36	Professional		$15.57	$22.13	$44.36