Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $22.16 / $35.18	Facility		$22.16	$22.16	$35.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $27.70 / $36.17	Professional		$15.10	$27.70	$36.17
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 $34.45 / $45.26 / $45.26	Professional		$34.45	$45.26	$45.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $29.14 / $29.14	Facility		$29.14	$29.14	$29.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $33.58	Professional		$21.27	$21.27	$33.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $45.26 / $85.99	Professional		$41.64	$45.26	$85.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $22.16 / $35.18	Facility		$22.16	$22.16	$35.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $27.70 / $45.21	Professional		$19.30	$27.70	$45.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $61.70 / $89.00	Professional		$53.70	$61.70	$89.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $29.14 / $29.14	Facility		$29.14	$29.14	$29.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $52.50	Professional		$21.27	$21.27	$52.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $31.18 / $43.06 / $43.06	Facility		$31.18	$43.06	$43.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $43.06 / $43.06	Professional		$31.18	$43.06	$43.06
United Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $23.09 / $35.79	Professional		$17.37	$23.09	$35.79