Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $7.79	Facility		$4.90	$4.90	$7.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $6.13 / $8.22	Professional		$4.63	$6.13	$8.22
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 $9.99 / $9.99 / $9.99	Professional		$9.99	$9.99	$9.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $12.31 / $12.31	Facility		$12.31	$12.31	$12.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $5.51 / $5.51	Professional		$5.51	$5.51	$5.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $14.61 / $15.65	Professional		$11.33	$14.61	$15.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $7.79	Facility		$4.90	$4.90	$7.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $6.13 / $9.24	Professional		$3.80	$6.13	$9.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $12.40 / $19.70	Professional		$6.80	$12.40	$19.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $12.31 / $12.31	Facility		$12.31	$12.31	$12.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $5.51 / $5.51	Professional		$5.51	$5.51	$5.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7.13 / $9.51 / $9.51	Facility		$7.13	$9.51	$9.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $9.51 / $10.27	Professional		$7.13	$9.51	$10.27
United Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $5.00 / $8.31	Professional		$3.32	$5.00	$8.31