Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $16.87 / $26.77	Facility		$16.87	$16.87	$26.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $21.08 / $27.50	Professional		$11.96	$21.08	$27.50
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 $26.19 / $34.40 / $34.40	Professional		$26.19	$34.40	$34.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $20.66 / $40.31	Facility		$20.66	$20.66	$40.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $25.53	Professional		$17.55	$17.55	$25.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $34.40 / $65.36	Professional		$31.65	$34.40	$65.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $16.87 / $26.77	Facility		$16.87	$16.87	$26.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $21.08 / $32.53	Professional		$14.53	$21.08	$32.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $49.00 / $67.80	Professional		$42.60	$49.00	$67.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $20.66 / $40.31	Facility		$20.66	$20.66	$40.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $39.75	Professional		$17.55	$17.55	$39.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $24.59 / $32.74 / $32.74	Facility		$24.59	$32.74	$32.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $32.74 / $32.74	Professional		$24.59	$32.74	$32.74
United Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $17.16 / $30.05	Professional		$11.44	$17.16	$30.05