Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.66 / $11.55 / $11.55	Facility		$10.66	$11.55	$11.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $11.68 / $14.55	Professional		$10.66	$11.68	$14.55
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $16.75 / $23.59	Professional		$10.34	$16.75	$23.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $16.48 / $34.97	Professional		$12.17	$16.48	$34.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $17.60 / $17.89	Professional		$13.37	$17.60	$17.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $11.55 / $11.55	Facility		$11.55	$11.55	$11.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $11.81 / $21.00	Professional		$10.66	$11.81	$21.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $25.10 / $29.50	Professional		$20.70	$25.10	$29.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $17.14 / $36.36	Professional		$12.51	$17.14	$36.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $11.54 / $11.54	Facility		$11.54	$11.54	$11.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $11.54	Professional		$11.54	$11.54	$11.54
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $15.50 / $25.46	Professional		$11.96	$15.50	$25.46