Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.77 / $22.77 / $88.12	Facility		$22.77	$22.77	$88.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $26.65 / $42.40	Professional		$21.66	$26.65	$42.40
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 $42.14 / $55.34 / $55.34	Professional		$42.14	$55.34	$55.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $33.22 / $55.34	Facility		$33.22	$33.22	$55.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $24.25 / $48.45	Professional		$24.25	$24.25	$48.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.91 / $55.34 / $105.15	Professional		$50.91	$55.34	$105.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.77 / $22.77 / $88.12	Facility		$22.77	$22.77	$88.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $28.59 / $82.40	Professional		$21.66	$28.59	$82.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $29.20 / $109.00	Professional		$22.20	$29.20	$109.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $33.22 / $55.34	Facility		$33.22	$33.22	$55.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $24.25 / $65.63	Professional		$24.25	$24.25	$65.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $39.56 / $52.67 / $52.67	Facility		$39.56	$52.67	$52.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $52.67 / $53.98	Professional		$39.56	$52.67	$53.98
United Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $27.72 / $49.90	Professional		$20.93	$27.72	$49.90