Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.97 / $33.00 / $33.00	Facility		$27.97	$33.00	$33.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $6.47 / $9.99	Professional		$6.19	$6.47	$9.99
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $40.31 / $56.10 / $79.31	Facility		$40.31	$56.10	$79.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $6.23 / $6.23	Professional		$6.23	$6.23	$6.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.59 / $9.59 / $13.28	Facility		$9.59	$9.59	$13.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $7.60 / $16.11	Professional		$4.61	$7.60	$16.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $10.79 / $15.18	Professional		$4.75	$10.79	$15.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $33.00 / $33.00	Facility		$33.00	$33.00	$33.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $6.55 / $51.38	Professional		$5.91	$6.55	$51.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $12.40 / $50.40	Professional		$9.00	$12.40	$50.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $9.59 / $9.59 / $13.28	Facility		$9.59	$9.59	$13.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $8.94 / $17.77	Professional		$4.66	$8.94	$17.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $7.99 / $11.38	Professional		$7.99	$7.99	$11.38
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.99 / $13.07	Professional		$4.79	$7.99	$13.07