Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $1.38 / $2.18	Facility		$1.38	$1.38	$2.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $1.72 / $2.18	Professional		$0.98	$1.72	$2.18
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 $2.81 / $2.81 / $2.81	Professional		$2.81	$2.81	$2.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $3.29 / $3.29	Facility		$3.29	$3.29	$3.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $1.44 / $1.44	Professional		$1.44	$1.44	$1.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.80 / $4.07	Professional		$2.95	$3.80	$4.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $1.38 / $2.18	Facility		$1.38	$1.38	$2.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $1.72 / $2.40	Professional		$0.98	$1.72	$2.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.00 / $5.50	Professional		$3.50	$4.00	$5.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $3.29 / $3.29	Facility		$3.29	$3.29	$3.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $1.44 / $1.44	Professional		$1.44	$1.44	$1.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.67 / $2.67	Facility		$2.02	$2.67	$2.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.67 / $2.67	Professional		$2.02	$2.67	$2.67
United Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $1.40 / $2.34	Professional		$1.08	$1.40	$2.34