Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.70 / $4.70 / $7.47	Facility		$4.70	$4.70	$7.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.88 / $7.67	Professional		$4.17	$5.88	$7.67
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 $9.59 / $9.59 / $9.59	Professional		$9.59	$9.59	$9.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $11.24 / $11.24	Facility		$11.24	$11.24	$11.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $4.88	Professional		$4.88	$4.88	$4.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $12.98 / $13.91	Professional		$10.07	$12.98	$13.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.70 / $4.70 / $7.47	Facility		$4.70	$4.70	$7.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.88 / $9.07	Professional		$4.47	$5.88	$9.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $13.70 / $18.89	Professional		$11.90	$13.70	$18.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $11.24 / $11.24	Facility		$11.24	$11.24	$11.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $4.88	Professional		$4.88	$4.88	$4.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $7.22 / $9.13	Facility		$6.86	$7.22	$9.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $9.13 / $9.13	Professional		$6.86	$9.13	$9.13
United Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $4.78 / $8.66	Professional		$3.68	$4.78	$8.66