Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $22.04 / $23.33	Facility		$22.04	$22.04	$23.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $23.33 / $30.08	Professional		$19.32	$23.33	$30.08
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 $37.58 / $49.35 / $49.35	Professional		$37.58	$49.35	$49.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.14 / $40.14 / $49.35	Facility		$40.14	$40.14	$49.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $34.11 / $43.21	Professional		$34.11	$34.11	$43.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.40 / $49.35 / $93.77	Professional		$45.40	$49.35	$93.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $22.04 / $22.04	Facility		$22.04	$22.04	$22.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $23.33 / $34.02	Professional		$19.32	$23.33	$34.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.20 / $70.40 / $97.20	Professional		$61.20	$70.40	$97.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $40.14 / $40.14 / $49.35	Facility		$40.14	$40.14	$49.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $34.11 / $58.50	Professional		$34.11	$34.11	$58.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $46.97 / $46.97	Facility		$35.29	$46.97	$46.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $46.97 / $48.11	Professional		$35.29	$46.97	$48.11
United Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $29.61 / $43.11	Professional		$22.54	$29.61	$43.11