Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $13.14 / $20.85	Facility		$13.14	$13.14	$20.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $16.42 / $21.42	Professional		$11.66	$16.42	$21.42
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 $26.79 / $26.79 / $26.79	Professional		$26.79	$26.79	$26.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $31.39 / $31.39	Facility		$31.39	$31.39	$31.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $12.04 / $12.04	Professional		$10.93	$12.04	$12.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $36.27 / $38.85	Professional		$28.13	$36.27	$38.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $13.14 / $20.85	Facility		$13.14	$13.14	$20.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $16.42 / $25.34	Professional		$12.50	$16.42	$25.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $38.20 / $52.80	Professional		$33.20	$38.20	$52.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $31.39 / $31.39	Facility		$31.39	$31.39	$31.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $12.04 / $12.04	Professional		$10.93	$12.04	$12.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.17 / $20.14 / $25.50	Facility		$19.17	$20.14	$25.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $25.50 / $25.50	Professional		$19.17	$25.50	$25.50
United Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $13.37 / $24.18	Professional		$10.27	$13.37	$24.18