Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.87 / $2.87 / $4.55	Facility		$2.87	$2.87	$4.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.59 / $3.96	Professional		$2.04	$3.59	$3.96
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 $4.46 / $5.87 / $5.87	Professional		$4.46	$5.87	$5.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.77 / $3.77 / $6.88	Facility		$3.77	$3.77	$6.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.20 / $3.88	Professional		$2.40	$3.20	$3.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $5.87 / $11.15	Professional		$5.40	$5.87	$11.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.87 / $2.87 / $4.55	Facility		$2.87	$2.87	$4.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.59 / $4.55	Professional		$2.04	$3.59	$4.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $8.40 / $11.50	Professional		$7.30	$8.40	$11.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.77 / $3.77 / $6.88	Facility		$3.77	$3.77	$6.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.20 / $4.13	Professional		$2.40	$3.20	$4.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $5.58 / $5.58	Facility		$4.19	$5.58	$5.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $5.58 / $5.58	Professional		$4.19	$5.58	$5.58
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.92 / $4.87	Professional		$2.04	$2.92	$4.87