Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.62 / $2.58	Facility		$1.62	$1.62	$2.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $2.02 / $2.58	Professional		$1.14	$2.02	$2.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $3.31	Professional		$3.31	$3.31	$3.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.31 / $3.31	Professional		$2.52	$3.31	$3.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $1.99 / $3.55	Facility		$1.99	$1.99	$3.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $2.27	Professional		$1.69	$1.69	$2.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $2.59 / $4.34	Professional		$1.80	$2.59	$4.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.62 / $2.58	Facility		$1.62	$1.62	$2.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $2.02 / $3.31	Professional		$1.14	$2.02	$3.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.50 / $6.50	Professional		$3.80	$4.50	$6.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $1.99 / $3.55	Facility		$1.99	$1.99	$3.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $3.75	Professional		$1.69	$1.69	$3.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.36 / $3.15 / $3.15	Facility		$2.36	$3.15	$3.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $3.15 / $3.15	Professional		$2.36	$3.15	$3.15
United Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.65 / $2.98	Professional		$1.10	$1.65	$2.98