Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $26.52 / $1,492.05	Facility		$21.22	$26.52	$1,492.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $25.13 / $33.02	Professional		$12.69	$25.13	$33.02
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $43.27 / $43.27 / $43.27	Professional		$43.27	$43.27	$43.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $50.71 / $50.71	Facility		$50.71	$50.71	$50.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $22.09 / $22.09	Professional		$22.09	$22.09	$22.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.43 / $58.59 / $62.74	Professional		$45.43	$58.59	$62.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $33.68 / $1,492.05	Facility		$21.22	$33.68	$1,492.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $26.51 / $35.84	Professional		$12.69	$26.51	$35.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $408.56 / $408.56 / $408.56	Facility		$408.56	$408.56	$408.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $53.60 / $85.30	Professional		$15.30	$53.60	$85.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $50.71 / $50.71	Facility		$50.71	$50.71	$50.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $22.09 / $22.09	Professional		$22.09	$22.09	$22.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $30.93 / $41.19 / $41.19	Facility		$30.93	$41.19	$41.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.93 / $41.19 / $41.19	Professional		$30.93	$41.19	$41.19
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $20.72	Professional		$15.00	$15.00	$20.72