Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $3.54 / $4.50	Facility		$3.54	$3.54	$4.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.54 / $3.54	Professional		$3.33	$3.54	$3.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $967.00 / $967.00	Facility		$967.00	$967.00	$967.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $26.79 / $26.79	Professional		$26.79	$26.79	$26.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $28.50	Facility		$28.50	$28.50	$28.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $6.78 / $6.78	Professional		$6.78	$6.78	$6.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $32.04 / $35.09	Professional		$24.85	$32.04	$35.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $3.54 / $4.50	Facility		$3.54	$3.54	$4.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.54 / $3.54	Professional		$3.33	$3.54	$3.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $52.80 / $52.80	Professional		$43.40	$52.80	$52.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $28.50	Facility		$28.50	$28.50	$28.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $6.78 / $6.78	Professional		$6.78	$6.78	$6.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.50 / $25.50 / $25.81	Facility		$25.50	$25.50	$25.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $25.50 / $25.81	Professional		$22.53	$25.50	$25.81
United Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $14.55 / $31.41	Professional		$9.38	$14.55	$31.41