Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $19.70 / $76.23	Facility		$19.70	$19.70	$76.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $21.80 / $26.47	Professional		$18.73	$21.80	$26.47
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 $36.46 / $47.87 / $47.87	Professional		$36.46	$47.87	$47.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $27.38 / $47.87	Facility		$27.38	$27.38	$47.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $41.92	Professional		$19.98	$19.98	$41.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $47.87 / $90.95	Professional		$44.04	$47.87	$90.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $19.70 / $76.23	Facility		$19.70	$19.70	$76.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $22.64 / $31.11	Professional		$18.73	$22.64	$31.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.30 / $68.20 / $94.30	Professional		$59.30	$68.20	$94.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $27.38 / $47.87	Facility		$27.38	$27.38	$47.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $57.00	Professional		$19.98	$19.98	$57.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $45.57 / $45.57	Facility		$34.22	$45.57	$45.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $45.57 / $46.68	Professional		$34.22	$45.57	$46.68
United Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $23.89 / $39.81	Professional		$18.10	$23.89	$39.81