Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $19.97 / $19.97	Facility		$15.88	$19.97	$19.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $18.32 / $22.73	Professional		$14.84	$18.32	$22.73
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 $21.40 / $22.21 / $34.34	Professional		$21.40	$22.21	$34.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $19.64	Professional		$19.64	$19.64	$19.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $33.49 / $62.90	Professional		$23.67	$33.49	$62.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Facility		$19.97	$19.97	$19.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $18.64 / $28.67	Professional		$15.30	$18.64	$28.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $32.70 / $45.20	Professional		$12.24	$32.70	$45.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $19.64	Professional		$19.64	$19.64	$19.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Facility		$16.80	$16.80	$16.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $16.80 / $18.00	Professional		$16.50	$16.80	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $22.00 / $35.46	Professional		$16.30	$22.00	$35.46