Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $14.61	Facility		$13.80	$13.80	$14.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $14.61 / $18.82	Professional		$12.10	$14.61	$18.82
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 $23.52 / $30.88 / $30.88	Professional		$23.52	$30.88	$30.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $25.14 / $30.88	Facility		$25.14	$25.14	$30.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $21.37 / $27.05	Professional		$21.37	$21.37	$27.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $30.88 / $58.67	Professional		$28.41	$30.88	$58.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $14.61 / $21.29	Professional		$12.10	$14.61	$21.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $44.10 / $60.90	Professional		$38.29	$44.10	$60.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $25.14 / $30.88	Facility		$25.14	$25.14	$30.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $21.37 / $36.75	Professional		$21.37	$21.37	$36.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $29.40 / $29.40	Facility		$22.10	$29.40	$29.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $29.40 / $30.14	Professional		$22.10	$29.40	$30.14
United Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $16.70 / $27.86	Professional		$13.93	$16.70	$27.86