Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $14.16 / $54.80	Facility		$14.16	$14.16	$54.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $15.66 / $19.94	Professional		$13.46	$15.66	$19.94
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 $26.19 / $34.40 / $34.40	Professional		$26.19	$34.40	$34.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $23.58 / $34.40	Facility		$23.58	$23.58	$34.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $17.21 / $30.12	Professional		$17.21	$17.21	$30.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $34.40 / $65.36	Professional		$31.65	$34.40	$65.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $14.16 / $54.80	Facility		$14.16	$14.16	$54.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $16.26 / $52.38	Professional		$13.46	$16.26	$52.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $49.00 / $67.80	Professional		$32.00	$49.00	$67.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $23.58 / $34.40	Facility		$23.58	$23.58	$34.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $17.21 / $40.88	Professional		$17.21	$17.21	$40.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $24.59 / $32.74 / $32.74	Facility		$24.59	$32.74	$32.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $32.74 / $33.53	Professional		$24.59	$32.74	$33.53
United Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $15.57 / $18.18	Facility		$12.10	$15.57	$18.18
United Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $17.23 / $32.63	Professional		$13.16	$17.23	$32.63