Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.80 / $1.26	Facility		$0.80	$0.80	$1.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.99 / $4.93	Professional		$0.80	$0.99	$4.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $1.42	Professional		$1.42	$1.42	$1.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.42 / $12.42 / $12.42	Facility		$12.42	$12.42	$12.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $1.03 / $1.03	Professional		$1.03	$1.03	$1.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $1.92 / $2.70	Professional		$1.56	$1.92	$2.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.80 / $1.26	Facility		$0.80	$0.80	$1.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $1.01 / $4.93	Professional		$0.80	$1.01	$4.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $7.30 / $24.00	Professional		$3.20	$7.30	$24.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.42 / $12.42 / $12.42	Facility		$12.42	$12.42	$12.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $1.03 / $1.03	Professional		$1.03	$1.03	$1.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $1.42 / $10.82	Facility		$1.42	$1.42	$10.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $10.82	Professional		$1.42	$1.42	$10.82
United Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.88 / $10.83	Professional		$0.56	$0.88	$10.83