Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $25.87	Facility		$16.30	$16.30	$25.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $20.37 / $26.57	Professional		$14.46	$20.37	$26.57
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 $33.22 / $33.22 / $33.22	Professional		$33.22	$33.22	$33.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.94 / $38.94 / $38.94	Facility		$38.94	$38.94	$38.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $18.01 / $18.01	Professional		$13.56	$18.01	$18.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.89 / $44.99 / $48.18	Professional		$34.89	$44.99	$48.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $25.87	Facility		$16.30	$16.30	$25.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $20.37 / $31.43	Professional		$15.50	$20.37	$31.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $47.40 / $65.50	Professional		$24.70	$47.40	$65.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.94 / $38.94 / $38.94	Facility		$38.94	$38.94	$38.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $18.01 / $18.01	Professional		$13.56	$18.01	$18.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $24.97 / $31.63	Facility		$23.76	$24.97	$31.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $31.63 / $31.63	Professional		$23.76	$31.63	$31.63
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.57 / $34.47	Professional		$11.75	$16.57	$34.47