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 / $19.02	Professional		$13.46	$15.66	$19.02
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 $24.27 / $24.27 / $34.40	Facility		$24.27	$24.27	$34.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $17.72 / $30.12	Professional		$17.72	$17.72	$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
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $25.80 / $25.80	Professional		$25.80	$25.80	$25.80
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 / $22.35	Professional		$13.46	$16.26	$22.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $49.00 / $67.80	Professional		$42.60	$49.00	$67.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $24.27 / $34.40	Facility		$24.27	$24.27	$34.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $17.72 / $40.88	Professional		$17.72	$17.72	$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 Professional Modifier Low / Median / High Price $13.16 / $17.35 / $31.02	Professional		$13.16	$17.35	$31.02