Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $56.73 / $19,874.18	Facility		$22.20	$56.73	$19,874.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.19 / $26.61	Professional		$19.00	$19.19	$26.61
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $20.23 / $8,459.92	Facility		$17.27	$20.23	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $19.35 / $19.35	Professional		$19.35	$19.35	$19.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $19.00 / $19.00	Facility		$13.34	$19.00	$19.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Professional		$19.00	$19.00	$19.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $16.14 / $31.02	Professional		$15.34	$16.14	$31.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $53.95 / $19,772.00	Facility		$22.20	$53.95	$19,772.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $20.90 / $66.84	Professional		$19.00	$20.90	$66.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $40.36 / $137.50	Professional		$27.40	$40.36	$137.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $19.00 / $19.00	Facility		$13.34	$19.00	$19.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Professional		$19.00	$19.00	$19.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $58.34 / $58.34 / $67.70	Facility		$58.34	$58.34	$67.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $58.34 / $67.70	Professional		$58.34	$58.34	$67.70
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $20.14 / $28.50	Professional		$19.00	$20.14	$28.50