Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $52.00 / $66.04	Facility		$52.00	$52.00	$66.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $52.00 / $52.00	Professional		$38.49	$52.00	$52.00
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 $44.80 / $46.49 / $46.49	Professional		$44.80	$46.49	$46.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $71.06 / $71.06	Facility		$71.06	$71.06	$71.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Professional		$21.25	$21.25	$21.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $82.59 / $88.45	Professional		$64.05	$82.59	$88.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $52.00 / $66.04	Facility		$52.00	$52.00	$66.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Professional		$52.00	$52.00	$52.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.30 / $43.30 / $47.40	Professional		$43.30	$43.30	$47.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $71.06 / $71.06	Facility		$71.06	$71.06	$71.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Professional		$21.25	$21.25	$21.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $55.24 / $55.24 / $55.68	Facility		$55.24	$55.24	$55.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $55.24 / $55.24 / $55.68	Professional		$55.24	$55.24	$55.68
United Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $36.60 / $74.03	Professional		$23.69	$36.60	$74.03