Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.61 / $16.61 / $64.28	Facility		$16.61	$16.61	$64.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $18.37 / $22.33	Professional		$15.80	$18.37	$22.33
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 $30.72 / $40.35 / $40.35	Professional		$30.72	$40.35	$40.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $23.09 / $40.35	Facility		$23.09	$23.09	$40.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $35.33	Professional		$16.86	$16.86	$35.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $40.35 / $76.67	Professional		$37.11	$40.35	$76.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.61 / $16.61 / $64.28	Facility		$16.61	$16.61	$64.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $19.07 / $26.25	Professional		$15.80	$19.07	$26.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $21.20 / $79.50	Professional		$16.10	$21.20	$79.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $23.09 / $40.35	Facility		$23.09	$23.09	$40.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $48.00	Professional		$16.86	$16.86	$48.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.86 / $38.40 / $38.40	Facility		$28.86	$38.40	$38.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $38.40 / $39.40	Professional		$28.86	$38.40	$39.40
United Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $20.22 / $36.40	Professional		$15.45	$20.22	$36.40