Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $14.40 / $22.86	Facility		$14.40	$14.40	$22.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $18.00 / $23.49	Professional		$12.78	$18.00	$23.49
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 $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $34.43 / $34.43	Facility		$34.43	$34.43	$34.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $39.78 / $42.60	Professional		$30.85	$39.78	$42.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.22 / $18.00 / $22.86	Facility		$10.22	$18.00	$22.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $18.00 / $27.78	Professional		$13.70	$18.00	$27.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $41.90 / $57.90	Professional		$36.40	$41.90	$57.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $34.43 / $34.43	Facility		$34.43	$34.43	$34.43
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $27.96 / $27.96	Facility		$21.00	$27.96	$27.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $27.96 / $27.96	Professional		$21.00	$27.96	$27.96
United Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $14.71 / $24.42	Professional		$11.85	$14.71	$24.42