Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $20.90 / $26.13	Facility		$20.90	$20.90	$26.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $26.13 / $52.87	Professional		$20.73	$26.13	$52.87
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 $42.64 / $42.64 / $42.64	Professional		$42.64	$42.64	$42.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.97 / $49.97 / $49.97	Facility		$49.97	$49.97	$49.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $17.39 / $17.39	Professional		$17.39	$17.39	$17.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $57.73 / $61.83	Professional		$44.77	$57.73	$61.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $20.90 / $26.13	Facility		$20.90	$20.90	$26.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $26.13 / $97.00	Professional		$20.73	$26.13	$97.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $63.60 / $84.00	Professional		$52.40	$63.60	$84.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $49.97 / $49.97 / $49.97	Facility		$49.97	$49.97	$49.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $17.39 / $17.39	Professional		$17.39	$17.39	$17.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $24.98 / $40.58 / $40.58	Facility		$24.98	$40.58	$40.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $40.58 / $40.58	Professional		$24.98	$40.58	$40.58
United Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $21.27 / $35.45	Professional		$14.18	$21.27	$35.45