Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $12.25 / $15.31	Facility		$12.25	$12.25	$15.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $15.31 / $21.39	Professional		$12.25	$15.31	$21.39
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 $24.98 / $24.98 / $24.98	Professional		$24.98	$24.98	$24.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $29.27 / $29.27	Facility		$29.27	$29.27	$29.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $33.82 / $36.22	Professional		$26.23	$33.82	$36.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.04 / $90.04 / $90.04	Facility		$90.04	$90.04	$90.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $12.25 / $15.31	Facility		$12.25	$12.25	$15.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $15.31 / $23.62	Professional		$12.25	$15.31	$23.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $37.20 / $49.20	Professional		$30.70	$37.20	$49.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $29.27 / $29.27	Facility		$29.27	$29.27	$29.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.64 / $23.77 / $23.77	Facility		$14.64	$23.77	$23.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $23.77 / $23.77	Professional		$14.64	$23.77	$23.77
United Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $12.46 / $21.62	Professional		$9.51	$12.46	$21.62