Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.51 / $16.51 / $20.64	Facility		$16.51	$16.51	$20.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $20.64 / $32.47	Professional		$16.51	$20.64	$32.47
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 $33.68 / $33.68 / $33.68	Professional		$33.68	$33.68	$33.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $39.47	Facility		$39.47	$39.47	$39.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $13.74 / $13.74	Professional		$13.74	$13.74	$13.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $45.60 / $48.84	Professional		$35.36	$45.60	$48.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.51 / $16.51 / $20.64	Facility		$16.51	$16.51	$20.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $20.64 / $32.47	Professional		$16.51	$20.64	$32.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $50.20 / $66.40	Professional		$41.40	$50.20	$66.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $39.47	Facility		$39.47	$39.47	$39.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $13.74 / $13.74	Professional		$13.74	$13.74	$13.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.72 / $32.06 / $32.06	Facility		$19.72	$32.06	$32.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $32.06 / $32.06	Professional		$19.72	$32.06	$32.06
United Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $16.80 / $28.00	Professional		$11.20	$16.80	$28.00