Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $15.37 / $59.48	Facility		$15.37	$15.37	$59.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $17.01 / $21.69	Professional		$14.62	$17.01	$21.69
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 $28.45 / $37.36 / $37.36	Professional		$28.45	$37.36	$37.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $25.64 / $37.36	Facility		$25.64	$25.64	$37.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $18.72 / $32.71	Professional		$18.72	$18.72	$32.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $37.36 / $70.98	Professional		$34.36	$37.36	$70.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $15.37 / $59.48	Facility		$15.37	$15.37	$59.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $17.66 / $28.45	Professional		$14.62	$17.66	$28.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.30 / $53.20 / $73.59	Professional		$46.30	$53.20	$73.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $25.64 / $37.36	Facility		$25.64	$25.64	$37.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $18.72 / $44.25	Professional		$18.72	$18.72	$44.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $26.70 / $35.56 / $35.56	Facility		$26.70	$35.56	$35.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $35.56 / $36.46	Professional		$26.70	$35.56	$36.46
United Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $18.64 / $32.64	Professional		$14.30	$18.64	$32.64