Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $20.32 / $25.31	Facility		$18.36	$20.32	$25.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $20.05 / $25.31	Professional		$14.49	$20.05	$25.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,459.92 / $8,639.91 / $79,506.39	Facility		$8,459.92	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $17.47 / $29.14	Professional		$16.82	$17.47	$29.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.25 / $20.25 / $20.25	Facility		$20.25	$20.25	$20.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $15.18 / $15.18	Professional		$15.18	$15.18	$15.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $33.64 / $33.64 / $33.64	Facility		$33.64	$33.64	$33.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $24.13 / $34.72	Professional		$19.51	$24.13	$34.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $20.32 / $22.71	Facility		$18.36	$20.32	$22.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $20.32 / $26.83	Professional		$15.34	$20.32	$26.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $14.60 / $14.60	Facility		$14.60	$14.60	$14.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $16.50 / $39.60	Professional		$14.60	$16.50	$39.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $20.25 / $20.25 / $20.25	Facility		$20.25	$20.25	$20.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $15.18 / $15.18	Professional		$15.18	$15.18	$15.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.01 / $16.37 / $16.37	Facility		$12.01	$16.37	$16.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $15.87 / $17.26	Professional		$13.26	$15.87	$17.26
United Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $17.47 / $31.50	Professional		$11.77	$17.47	$31.50