Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $11.52 / $18.30	Facility		$11.52	$11.52	$18.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $14.41 / $18.79	Professional		$10.22	$14.41	$18.79
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 $23.50 / $23.50 / $23.50	Professional		$23.50	$23.50	$23.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.68 / $31.82 / $34.08	Professional		$24.68	$31.82	$34.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $11.52 / $18.30	Facility		$11.52	$11.52	$18.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.41 / $22.23	Professional		$10.96	$14.41	$22.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $33.50 / $46.30	Professional		$17.50	$33.50	$46.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $17.66 / $22.37	Facility		$16.80	$17.66	$22.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $22.37 / $22.37	Professional		$16.80	$22.37	$22.37
United Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $11.72 / $19.54	Professional		$9.18	$11.72	$19.54