Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $6.13 / $9.74	Facility		$6.13	$6.13	$9.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $7.35 / $11.83	Professional		$4.34	$7.35	$11.83
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 $9.52 / $12.50 / $12.50	Professional		$9.52	$12.50	$12.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $7.51 / $13.94	Facility		$7.51	$7.51	$13.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.38 / $8.58	Professional		$6.38	$6.38	$8.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $12.50 / $23.75	Professional		$11.50	$12.50	$23.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $6.13 / $9.74	Facility		$6.13	$6.13	$9.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $7.66 / $28.00	Professional		$4.34	$7.66	$28.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $16.30 / $24.60	Professional		$9.30	$16.30	$24.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $7.51 / $13.94	Facility		$7.51	$7.51	$13.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.38 / $14.25	Professional		$6.38	$6.38	$14.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $11.90 / $11.90	Facility		$8.94	$11.90	$11.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $11.90 / $11.90	Professional		$8.94	$11.90	$11.90
United Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $6.24 / $11.27	Professional		$4.38	$6.24	$11.27