Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $21.28 / $82.35	Facility		$21.28	$21.28	$82.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $22.53 / $30.05	Professional		$18.64	$22.53	$30.05
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 $36.29 / $47.66 / $47.66	Professional		$36.29	$47.66	$47.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.78 / $29.78 / $47.66	Facility		$29.78	$29.78	$47.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $21.74 / $41.73	Professional		$21.74	$21.74	$41.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $47.66 / $90.55	Professional		$43.85	$47.66	$90.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $21.28 / $82.35	Facility		$21.28	$21.28	$82.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $23.27 / $38.72	Professional		$18.64	$23.27	$38.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $65.00 / $93.90	Professional		$32.20	$65.00	$93.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $29.78 / $29.78 / $47.66	Facility		$29.78	$29.78	$47.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $21.74 / $55.13	Professional		$21.74	$21.74	$55.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $22.77 / $22.77 / $45.36	Facility		$22.77	$22.77	$45.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $45.36 / $45.36	Professional		$22.77	$45.36	$45.36
United Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $27.92 / $43.90	Professional		$22.38	$27.92	$43.90