Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $67.75 / $94.48	Facility		$31.39	$67.75	$94.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $33.85	Professional		$30.78	$30.78	$33.85
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $28.51 / $33.39 / $8,459.92	Facility		$28.51	$33.39	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $31.94 / $31.94	Professional		$31.94	$31.94	$31.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.03 / $30.78 / $30.78	Facility		$29.03	$30.78	$30.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $31.94	Professional		$30.78	$30.78	$31.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $38.49	Professional		$30.78	$30.78	$38.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $48.48 / $94.48	Facility		$31.39	$48.48	$94.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $31.39 / $53.05	Professional		$30.78	$31.39	$53.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $46.36 / $74.80	Professional		$27.40	$46.36	$74.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $29.03 / $30.78 / $30.78	Facility		$29.03	$30.78	$30.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $33.39	Professional		$30.78	$30.78	$33.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $32.15 / $37.31	Facility		$32.15	$32.15	$37.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $37.31	Professional		$32.15	$32.15	$37.31
United Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $32.63 / $41.11	Professional		$30.78	$32.63	$41.11