Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $50.85 / $96.12	Facility		$38.76	$50.85	$96.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $38.76 / $40.28	Professional		$36.47	$38.76	$40.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $32.31 / $37.85 / $8,459.92	Facility		$32.31	$37.85	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $37.85 / $37.85	Professional		$37.85	$37.85	$37.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $38.76 / $38.76	Facility		$38.76	$38.76	$38.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $38.76 / $38.76	Professional		$38.76	$38.76	$38.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $38.76 / $50.39	Professional		$38.76	$38.76	$50.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $56.59 / $96.12	Facility		$38.76	$56.59	$96.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $38.76 / $60.47	Professional		$36.47	$38.76	$60.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $46.40 / $56.40	Professional		$27.40	$46.40	$56.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $38.76 / $38.76	Facility		$38.76	$38.76	$38.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $38.76 / $38.76	Professional		$38.76	$38.76	$38.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.29 / $27.29 / $31.67	Facility		$27.29	$27.29	$31.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $27.29 / $31.67	Professional		$27.29	$27.29	$31.67
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $40.28 / $52.48	Professional		$38.00	$40.28	$52.48