Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.54 / $1.54 / $2.45	Facility		$1.54	$1.54	$2.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.93 / $2.50	Professional		$1.09	$1.93	$2.50
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 $2.39 / $3.14 / $3.14	Professional		$2.39	$3.14	$3.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $1.89 / $4.00	Facility		$1.89	$1.89	$4.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.61 / $2.33	Professional		$1.61	$1.61	$2.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $3.14 / $5.97	Professional		$2.89	$3.14	$5.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.54 / $1.54 / $2.45	Facility		$1.54	$1.54	$2.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $1.93 / $2.97	Professional		$1.47	$1.93	$2.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $6.20 / $6.20	Professional		$5.09	$6.20	$6.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $1.89 / $4.00	Facility		$1.89	$1.89	$4.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.61 / $3.75	Professional		$1.61	$1.61	$3.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.99 / $2.99 / $4.13	Facility		$2.99	$2.99	$4.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $2.99 / $4.13	Professional		$2.99	$2.99	$4.13
United Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.79 / $3.97	Professional		$1.33	$1.79	$3.97