Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $17.23 / $66.68	Facility		$17.23	$17.23	$66.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $19.07 / $24.28	Professional		$16.39	$19.07	$24.28
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 $31.89 / $41.88 / $41.88	Professional		$31.89	$41.88	$41.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $26.67 / $41.88	Facility		$26.67	$26.67	$41.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $19.47 / $36.67	Professional		$19.47	$19.47	$36.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $41.88 / $79.56	Professional		$38.53	$41.88	$79.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $17.23 / $66.68	Facility		$17.23	$17.23	$66.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $19.80 / $29.34	Professional		$16.39	$19.80	$29.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $59.70 / $82.50	Professional		$51.90	$59.70	$82.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $26.67 / $41.88	Facility		$26.67	$26.67	$41.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $19.47 / $49.88	Professional		$19.47	$19.47	$49.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.94 / $39.86 / $39.86	Facility		$29.94	$39.86	$39.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $39.86 / $40.83	Professional		$29.94	$39.86	$40.83
United Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $20.89 / $37.76	Professional		$15.94	$20.89	$37.76