Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.03 / $5.03 / $7.99	Facility		$5.03	$5.03	$7.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $6.29 / $8.21	Professional		$4.46	$6.29	$8.21
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 $10.26 / $10.26 / $10.26	Professional		$10.26	$10.26	$10.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $5.24	Professional		$5.24	$5.24	$5.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $13.89 / $14.88	Professional		$10.77	$13.89	$14.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.03 / $6.29 / $7.99	Facility		$5.03	$6.29	$7.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.29 / $9.71	Professional		$4.79	$6.29	$9.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $14.60 / $20.20	Professional		$7.70	$14.60	$20.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $5.24	Professional		$5.24	$5.24	$5.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7.33 / $7.71 / $9.77	Facility		$7.33	$7.71	$9.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $9.77 / $9.77	Professional		$7.33	$9.77	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $5.17 / $11.84	Professional		$3.93	$5.17	$11.84