Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $17.70 / $22.13	Facility		$17.70	$17.70	$22.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $22.13 / $37.89	Professional		$17.70	$22.13	$37.89
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 $36.10 / $36.10 / $36.10	Professional		$36.10	$36.10	$36.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.30 / $42.30 / $42.30	Facility		$42.30	$42.30	$42.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Professional		$14.73	$14.73	$14.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $48.88 / $52.35	Professional		$37.90	$48.88	$52.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $17.70 / $22.13	Facility		$17.70	$17.70	$22.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $22.31 / $45.21	Professional		$17.70	$22.31	$45.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.40 / $53.80 / $71.09	Professional		$44.40	$53.80	$71.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $42.30 / $42.30 / $42.30	Facility		$42.30	$42.30	$42.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Professional		$14.73	$14.73	$14.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $34.36 / $34.36	Facility		$21.15	$34.36	$34.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $34.36 / $34.36	Professional		$21.15	$34.36	$34.36
United Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $18.01 / $31.26	Professional		$14.57	$18.01	$31.26