Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $15.35 / $24.37	Facility		$15.35	$15.35	$24.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $19.19 / $21.15	Professional		$10.89	$19.19	$21.15
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 $23.83 / $31.29 / $31.29	Professional		$23.83	$31.29	$31.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $18.95 / $36.95	Facility		$18.95	$18.95	$36.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $16.11 / $23.40	Professional		$16.11	$16.11	$23.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $30.26 / $42.69	Professional		$24.21	$30.26	$42.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $15.35 / $24.37	Facility		$15.35	$15.35	$24.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $19.19 / $24.37	Professional		$10.89	$19.19	$24.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $42.70 / $61.70	Professional		$23.30	$42.70	$61.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $18.95 / $36.95	Facility		$18.95	$18.95	$36.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $16.11 / $36.38	Professional		$16.11	$16.11	$36.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $29.79 / $29.79	Facility		$22.39	$29.79	$29.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.79 / $30.01	Professional		$22.39	$29.79	$30.01
United Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $15.69 / $27.35	Professional		$11.08	$15.69	$27.35