Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $12.22 / $47.29	Facility		$12.22	$12.22	$47.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $12.94 / $16.67	Professional		$11.02	$12.94	$16.67
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 $20.85 / $27.38 / $27.38	Professional		$20.85	$27.38	$27.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $28.85	Facility		$16.30	$16.30	$28.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $11.91 / $25.26	Professional		$11.91	$11.91	$25.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $28.85 / $54.82	Professional		$26.54	$28.85	$54.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $12.22 / $47.29	Facility		$12.22	$12.22	$47.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.94 / $19.30	Professional		$10.72	$12.94	$19.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $39.40 / $56.80	Professional		$19.50	$39.40	$56.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $28.85	Facility		$16.30	$16.30	$28.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $11.91 / $30.00	Professional		$11.91	$11.91	$30.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.08 / $13.08 / $26.06	Facility		$13.08	$13.08	$26.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $26.06 / $27.46	Professional		$13.08	$26.06	$27.46
United Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $16.43 / $23.92	Professional		$12.80	$16.43	$23.92