Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $9.85 / $15.63	Facility		$9.85	$9.85	$15.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $12.31 / $16.05	Professional		$8.75	$12.31	$16.05
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 $20.09 / $20.09 / $20.09	Professional		$20.09	$20.09	$20.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.54 / $23.54 / $23.54	Facility		$23.54	$23.54	$23.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $10.26 / $10.26	Professional		$10.26	$10.26	$10.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.09 / $27.20 / $29.13	Professional		$21.09	$27.20	$29.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $9.85 / $15.63	Facility		$9.85	$9.85	$15.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $12.31 / $19.00	Professional		$9.08	$12.31	$19.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $28.60 / $39.60	Professional		$15.00	$28.60	$39.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $23.54 / $23.54 / $23.54	Facility		$23.54	$23.54	$23.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $10.26 / $10.26	Professional		$10.26	$10.26	$10.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.36 / $15.10 / $19.12	Facility		$14.36	$15.10	$19.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $18.53 / $19.12	Professional		$14.36	$18.53	$19.12
United Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $10.02 / $18.12	Professional		$7.33	$10.02	$18.12