Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.27 / $11.27 / $43.61	Facility		$11.27	$11.27	$43.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $12.37 / $16.63	Professional		$10.32	$12.37	$16.63
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 $19.22 / $25.24 / $25.24	Professional		$19.22	$25.24	$25.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $16.89 / $26.38	Facility		$16.89	$16.89	$26.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $23.10	Professional		$12.34	$12.34	$23.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $26.38 / $50.12	Professional		$24.27	$26.38	$50.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.27 / $11.27 / $43.61	Facility		$11.27	$11.27	$43.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $11.93 / $18.89	Professional		$10.32	$11.93	$18.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $36.00 / $52.00	Professional		$17.80	$36.00	$52.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $16.89 / $26.38	Facility		$16.89	$16.89	$26.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $31.50	Professional		$12.34	$12.34	$31.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $12.06 / $24.02	Facility		$12.06	$12.06	$24.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $24.02 / $25.11	Professional		$12.06	$24.02	$25.11
United Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $14.98 / $22.76	Professional		$11.80	$14.98	$22.76