Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.67 / $18.67 / $29.64	Facility		$18.67	$18.67	$29.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $23.34 / $30.44	Professional		$16.57	$23.34	$30.44
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 $38.07 / $38.07 / $38.07	Professional		$38.07	$38.07	$38.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.62 / $44.62 / $44.62	Facility		$44.62	$44.62	$44.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $19.44 / $19.44	Professional		$19.44	$19.44	$19.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $51.55 / $55.20	Professional		$39.97	$51.55	$55.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.67 / $18.67 / $29.64	Facility		$18.67	$18.67	$29.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $23.34 / $36.01	Professional		$17.76	$23.34	$36.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $54.30 / $75.00	Professional		$28.40	$54.30	$75.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $44.62 / $44.62 / $44.62	Facility		$44.62	$44.62	$44.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $19.44 / $19.44	Professional		$19.44	$19.44	$19.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $28.61 / $36.24	Facility		$27.22	$28.61	$36.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $36.24 / $36.24	Professional		$27.22	$36.24	$36.24
United Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $19.07 / $41.88	Professional		$15.37	$19.07	$41.88