Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.27 / $21.95 / $32.35	Facility		$6.27	$21.95	$32.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $6.27 / $9.68	Professional		$4.30	$6.27	$9.68
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $26.39 / $35.15 / $8,459.92	Facility		$26.39	$35.15	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $6.04 / $6.04	Professional		$6.04	$6.04	$6.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $10.09 / $26.08	Facility		$5.09	$10.09	$26.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $7.21 / $12.55	Professional		$3.25	$7.21	$12.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $6.19 / $13.08	Professional		$3.56	$6.19	$13.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.58 / $21.95 / $32.35	Facility		$6.58	$21.95	$32.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $6.35 / $31.97	Professional		$4.88	$6.35	$31.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $8.69 / $15.48	Professional		$5.90	$8.69	$15.48
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5.03 / $10.64 / $26.08	Facility		$5.03	$10.64	$26.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $7.55 / $11.88	Professional		$3.26	$7.55	$11.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7.74 / $7.74 / $7.74	Facility		$7.74	$7.74	$7.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $7.74 / $7.74	Professional		$6.81	$7.74	$7.74
United Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $4.38 / $8.77	Facility		$4.38	$4.38	$8.77
United Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $4.63 / $14.16	Professional		$3.25	$4.63	$14.16