Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $12.43 / $48.10	Facility		$12.43	$12.43	$48.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $13.17 / $17.18	Professional		$11.21	$13.17	$17.18
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 $21.20 / $27.84 / $27.84	Professional		$21.20	$27.84	$27.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $16.62 / $30.54	Facility		$16.62	$16.62	$30.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $12.13 / $26.73	Professional		$12.13	$12.13	$26.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $30.54 / $58.03	Professional		$28.10	$30.54	$58.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.80 / $20.88	Professional		$18.80	$18.80	$20.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $12.43 / $48.10	Facility		$12.43	$12.43	$48.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $13.17 / $93.76	Professional		$11.21	$13.17	$93.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $41.60 / $60.10	Professional		$20.60	$41.60	$60.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $16.62 / $30.54	Facility		$16.62	$16.62	$30.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $12.13 / $28.88	Professional		$12.13	$12.13	$28.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.31 / $13.31 / $26.50	Facility		$13.31	$13.31	$26.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $26.50 / $29.06	Professional		$13.31	$26.50	$29.06
United Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $16.25 / $16.25	Facility		$16.25	$16.25	$16.25
United Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $16.39 / $25.10	Professional		$12.55	$16.39	$25.10