Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $20.61 / $79.76	Facility		$20.61	$20.61	$79.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $22.64 / $54.31	Professional		$19.00	$22.64	$54.31
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 $35.15 / $46.16 / $46.16	Professional		$35.15	$46.16	$46.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $30.59 / $46.16	Facility		$30.59	$30.59	$46.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $22.33 / $40.42	Professional		$22.33	$22.33	$40.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $46.16 / $87.70	Professional		$42.47	$46.16	$87.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $20.61 / $79.76	Facility		$20.61	$20.61	$79.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $23.85 / $50.65	Professional		$20.21	$23.85	$50.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $65.80 / $90.90	Professional		$57.20	$65.80	$90.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $30.59 / $46.16	Facility		$30.59	$30.59	$46.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $22.33 / $54.75	Professional		$22.33	$22.33	$54.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.01 / $43.94 / $43.94	Facility		$33.01	$43.94	$43.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $43.94 / $45.00	Professional		$33.01	$43.94	$45.00
United Facility/Professional Facility Modifier Low / Median / High Price $47.98 / $56.45 / $67.73	Facility		$47.98	$56.45	$67.73
United Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $25.71 / $40.33	Professional		$20.81	$25.71	$40.33