Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.12 / $20.12 / $31.94	Facility		$20.12	$20.12	$31.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $25.15 / $32.81	Professional		$17.86	$25.15	$32.81
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 $41.04 / $41.04 / $41.04	Professional		$41.04	$41.04	$41.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.10 / $48.10 / $48.10	Facility		$48.10	$48.10	$48.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $20.95 / $20.95	Professional		$20.95	$20.95	$20.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.09 / $55.57 / $59.51	Professional		$43.09	$55.57	$59.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.12 / $20.12 / $31.94	Facility		$20.12	$20.12	$31.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $25.15 / $38.79	Professional		$19.14	$25.15	$38.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $58.50 / $80.80	Professional		$30.70	$58.50	$80.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $48.10 / $48.10 / $48.10	Facility		$48.10	$48.10	$48.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $20.95 / $20.95	Professional		$20.95	$20.95	$20.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.34 / $30.84 / $39.06	Facility		$29.34	$30.84	$39.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $39.06 / $39.06	Professional		$29.34	$39.06	$39.06
United Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $20.68 / $37.01	Professional		$16.03	$20.68	$37.01