Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.91 / $26.91 / $42.72	Facility		$26.91	$26.91	$42.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $33.64 / $43.88	Professional		$23.89	$33.64	$43.88
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 $54.89 / $54.89 / $54.89	Professional		$54.89	$54.89	$54.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.31 / $64.31 / $64.31	Facility		$64.31	$64.31	$64.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $28.02 / $28.02	Professional		$28.02	$28.02	$28.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.63 / $74.31 / $79.59	Professional		$57.63	$74.31	$79.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $26.91 / $26.91 / $42.72	Facility		$26.91	$26.91	$42.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $33.64 / $51.90	Professional		$25.60	$33.64	$51.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $74.90 / $108.10	Professional		$41.00	$74.90	$108.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.31 / $64.31 / $64.31	Facility		$64.31	$64.31	$64.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $28.02 / $28.02	Professional		$28.02	$28.02	$28.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $39.24 / $41.24 / $52.24	Facility		$39.24	$41.24	$52.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $52.24 / $52.24	Professional		$39.24	$52.24	$52.24
United Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $27.50 / $49.49	Professional		$20.90	$27.50	$49.49