Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $30.80 / $477.64	Facility		$3.20	$30.80	$477.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $4.00 / $5.24	Professional		$2.84	$4.00	$5.24
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 $6.53 / $6.53 / $6.53	Professional		$6.53	$6.53	$6.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $7.68 / $7.68	Facility		$7.68	$7.68	$7.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $3.35	Professional		$3.35	$3.35	$3.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $8.84 / $9.47	Professional		$6.86	$8.84	$9.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $30.80 / $477.64	Facility		$3.20	$30.80	$477.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $4.00 / $6.18	Professional		$3.05	$4.00	$6.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $9.30 / $12.90	Professional		$8.10	$9.30	$12.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $7.68 / $7.68	Facility		$7.68	$7.68	$7.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $3.35	Professional		$3.35	$3.35	$3.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.66 / $4.88 / $6.22	Facility		$4.66	$4.88	$6.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $6.22 / $6.22	Professional		$4.66	$6.22	$6.22
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.26 / $5.43	Professional		$2.54	$3.26	$5.43