Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $15.75 / $23.13	Professional		$13.37	$15.75	$23.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.26 / $7.88 / $13.40	Professional	TC	$6.26	$7.88	$13.40
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.92 / $35.67	Professional		$17.27	$17.92	$35.67
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $8.59 / $8.91 / $17.28	Professional	TC	$8.59	$8.91	$17.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $24.86 / $38.02	Professional		$14.33	$24.86	$38.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.34 / $12.72 / $21.35	Professional	TC	$7.34	$12.72	$21.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $24.41 / $31.99	Professional		$20.61	$24.41	$31.99
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $10.32 / $12.74 / $18.07	Professional	TC	$10.32	$12.74	$18.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $19.00 / $47.87	Professional		$14.00	$19.00	$47.87
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $6.57 / $10.10 / $23.40	Professional	TC	$6.57	$10.10	$23.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $29.30 / $46.60	Professional		$29.30	$29.30	$46.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $24.86 / $37.54	Professional		$14.33	$24.86	$37.54
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $7.34 / $12.69 / $21.35	Professional	TC	$7.34	$12.69	$21.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $15.86 / $24.21	Professional		$15.55	$15.86	$24.21
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $7.47 / $7.58 / $14.93	Professional	TC	$7.47	$7.58	$14.93
United Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $20.32 / $32.08	Professional		$15.61	$20.32	$32.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.16 / $9.94 / $16.20	Professional	TC	$7.16	$9.94	$16.20