Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $11.39 / $44.08	Facility		$11.39	$11.39	$44.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $12.62 / $15.22	Professional		$10.83	$12.62	$15.22
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 $21.07 / $27.67 / $27.67	Professional		$21.07	$27.67	$27.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $15.80 / $27.67	Facility		$15.80	$15.80	$27.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $11.53 / $24.23	Professional		$11.53	$11.53	$24.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $27.67 / $52.57	Professional		$25.46	$27.67	$52.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $11.39 / $44.08	Facility		$11.39	$11.39	$44.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $13.08 / $17.82	Professional		$10.83	$13.08	$17.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $39.50 / $54.50	Professional		$34.29	$39.50	$54.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $15.80 / $27.67	Facility		$15.80	$15.80	$27.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $11.53 / $33.00	Professional		$11.53	$11.53	$33.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.79 / $26.34 / $26.34	Facility		$19.79	$26.34	$26.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $26.34 / $26.98	Professional		$19.79	$26.34	$26.98
United Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $13.80 / $24.17	Professional		$10.57	$13.80	$24.17