Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.42 / $2.42 / $3.84	Facility		$2.42	$2.42	$3.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $3.02 / $3.95	Professional		$1.72	$3.02	$3.95
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 $3.76 / $4.94 / $4.94	Professional		$3.76	$4.94	$4.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $2.86 / $6.13	Facility		$2.86	$2.86	$6.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.43 / $2.95	Professional		$2.02	$2.43	$2.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $5.77 / $7.21	Professional		$4.54	$5.77	$7.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.42 / $2.42 / $3.84	Facility		$2.42	$2.42	$3.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $3.02 / $4.67	Professional		$2.02	$3.02	$4.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $6.70 / $9.69	Professional		$3.60	$6.70	$9.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $2.86 / $6.13	Facility		$2.86	$2.86	$6.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.43 / $3.41	Professional		$2.02	$2.43	$3.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $4.70 / $4.70	Facility		$3.52	$4.70	$4.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $4.70 / $4.70	Professional		$3.52	$4.70	$4.70
United Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $2.46 / $4.44	Professional		$1.77	$2.46	$4.44