Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $41.33	Facility		$10.68	$10.68	$41.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $11.06 / $12.50	Professional		$7.70	$11.06	$12.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $25.95 / $25.95	Professional		$19.76	$25.95	$25.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $13.34 / $19.67	Facility		$13.34	$13.34	$19.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $9.74 / $17.23	Professional		$9.74	$9.74	$17.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $19.67 / $37.36	Professional		$18.10	$19.67	$37.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $41.33	Facility		$10.68	$10.68	$41.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $11.75 / $14.77	Professional		$7.70	$11.75	$14.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $26.80 / $38.79	Professional		$13.20	$26.80	$38.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $13.34 / $19.67	Facility		$13.34	$13.34	$19.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $9.74 / $24.00	Professional		$9.74	$9.74	$24.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $24.70 / $24.70	Facility		$18.55	$24.70	$24.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $24.70 / $24.70	Professional		$18.55	$24.70	$24.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $12.95 / $21.58	Professional		$8.86	$12.95	$21.58