Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $19.30 / $30.66	Facility		$19.30	$19.30	$30.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $24.14 / $31.49	Professional		$13.70	$24.14	$31.49
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 $29.99 / $39.38 / $39.38	Professional		$29.99	$39.38	$39.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $46.15	Facility		$26.07	$26.07	$46.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $22.16 / $22.16	Professional		$16.07	$22.16	$22.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $39.38 / $74.81	Professional		$36.22	$39.38	$74.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $19.30 / $30.66	Facility		$19.30	$19.30	$30.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $24.14 / $37.25	Professional		$16.64	$24.14	$37.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $56.20 / $77.59	Professional		$48.80	$56.20	$77.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $46.15	Facility		$26.07	$26.07	$46.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $22.16 / $27.84	Professional		$16.07	$22.16	$27.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.16 / $37.49 / $37.49	Facility		$28.16	$37.49	$37.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $37.49 / $37.49	Professional		$28.16	$37.49	$37.49
United Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $19.64 / $35.52	Professional		$13.82	$19.64	$35.52