Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $0.96 / $1.52	Facility		$0.96	$0.96	$1.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $1.20 / $1.52	Professional		$0.68	$1.20	$1.52
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 $1.96 / $1.96 / $1.96	Professional		$1.96	$1.96	$1.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Facility		$2.19	$2.19	$2.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $1.02 / $1.02	Professional		$1.02	$1.02	$1.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $2.29 / $2.57	Professional		$1.77	$2.29	$2.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $0.96 / $1.52	Facility		$0.96	$0.96	$1.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $1.20 / $1.64	Professional		$0.68	$1.20	$1.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $2.80 / $3.80	Professional		$1.40	$2.80	$3.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Facility		$2.19	$2.19	$2.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $1.02 / $1.02	Professional		$1.02	$1.02	$1.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.40 / $1.47 / $1.86	Facility		$1.40	$1.47	$1.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.86 / $1.89	Professional		$1.40	$1.86	$1.89
United Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.99 / $1.76	Professional		$0.76	$0.99	$1.76