Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $21.53 / $26.91	Facility		$21.53	$21.53	$26.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $26.91 / $49.54	Professional		$21.53	$26.91	$49.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $43.90 / $43.90	Professional		$43.90	$43.90	$43.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.44 / $51.44 / $51.44	Facility		$51.44	$51.44	$51.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $17.91 / $17.91	Professional		$17.91	$17.91	$17.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $59.44 / $63.66	Professional		$46.10	$59.44	$63.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $21.53 / $26.91	Facility		$21.53	$21.53	$26.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $26.91 / $49.54	Professional		$21.53	$26.91	$49.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $65.50 / $86.50	Professional		$54.00	$65.50	$86.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $51.44 / $51.44 / $51.44	Facility		$51.44	$51.44	$51.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $17.91 / $17.91	Professional		$17.91	$17.91	$17.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.73 / $41.78 / $41.78	Facility		$25.73	$41.78	$41.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $41.78 / $41.78	Professional		$25.73	$41.78	$41.78
United Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $21.90 / $38.35	Professional		$17.72	$21.90	$38.35