Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $23.13 / $28.92	Facility		$23.13	$23.13	$28.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $28.92 / $77.02	Professional		$23.13	$28.92	$77.02
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 $47.18 / $47.18 / $47.18	Professional		$47.18	$47.18	$47.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $55.28 / $55.28	Facility		$55.28	$55.28	$55.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $19.25 / $19.25	Professional		$19.25	$19.25	$19.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.54 / $63.88 / $68.41	Professional		$49.54	$63.88	$68.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $23.13 / $28.92	Facility		$23.13	$23.13	$28.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $28.98 / $77.02	Professional		$23.13	$28.98	$77.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $70.40 / $92.90	Professional		$58.10	$70.40	$92.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $55.28 / $55.28	Facility		$55.28	$55.28	$55.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $19.25 / $19.25	Professional		$19.25	$19.25	$19.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.67 / $44.90 / $44.90	Facility		$27.67	$44.90	$44.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.67 / $44.90 / $44.90	Professional		$27.67	$44.90	$44.90
United Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $23.77 / $39.22	Professional		$20.01	$23.77	$39.22