Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.53 / $1.53 / $2.43	Facility		$1.53	$1.53	$2.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $1.84 / $2.40	Professional		$1.08	$1.84	$2.40
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 $2.38 / $3.12 / $3.12	Professional		$2.38	$3.12	$3.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.87 / $1.87 / $4.18	Facility		$1.87	$1.87	$4.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.59 / $2.20	Professional		$1.59	$1.59	$2.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $3.69 / $4.61	Professional		$2.87	$3.69	$4.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.53 / $1.53 / $2.43	Facility		$1.53	$1.53	$2.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $1.91 / $2.73	Professional		$1.08	$1.91	$2.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $4.20 / $6.10	Professional		$2.29	$4.20	$6.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.87 / $1.87 / $4.18	Facility		$1.87	$1.87	$4.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.59 / $3.75	Professional		$1.59	$1.59	$3.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $2.97 / $2.97	Facility		$2.22	$2.97	$2.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.97 / $2.97	Professional		$2.22	$2.97	$2.97
United Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.55 / $2.80	Professional		$1.09	$1.55	$2.80