Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $20.17 / $32.02	Facility		$20.17	$20.17	$32.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $25.21 / $36.71	Professional		$14.70	$25.21	$36.71
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 $31.31 / $41.12 / $41.12	Professional		$31.31	$41.12	$41.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $29.06 / $56.70	Facility		$29.06	$29.06	$56.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $36.34	Professional		$24.70	$24.70	$36.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $42.83 / $81.38	Professional		$39.40	$42.83	$81.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $25.21 / $2,110.62	Facility		$20.17	$25.21	$2,110.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $25.21 / $40.51	Professional		$14.30	$25.21	$40.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $30.70 / $81.00	Professional		$15.90	$30.70	$81.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $29.06 / $56.70	Facility		$29.06	$29.06	$56.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $55.13	Professional		$24.70	$24.70	$55.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.39 / $39.14 / $39.14	Facility		$29.39	$39.14	$39.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $39.14 / $46.05	Professional		$29.39	$39.14	$46.05
United Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $21.20 / $37.08	Professional		$15.80	$21.20	$37.08