Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $5.42 / $8.61	Facility		$5.42	$5.42	$8.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $6.78 / $8.84	Professional		$4.80	$6.78	$8.84
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 $11.05 / $11.05 / $11.05	Professional		$11.05	$11.05	$11.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $12.95 / $12.95	Facility		$12.95	$12.95	$12.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $5.64	Professional		$5.64	$5.64	$5.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $14.96 / $16.02	Professional		$11.60	$14.96	$16.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $5.42 / $8.61	Facility		$5.42	$5.42	$8.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $6.78 / $10.45	Professional		$5.15	$6.78	$10.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $15.80 / $21.80	Professional		$8.19	$15.80	$21.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $12.95 / $12.95	Facility		$12.95	$12.95	$12.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $5.64	Professional		$5.64	$5.64	$5.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7.91 / $8.31 / $10.52	Facility		$7.91	$8.31	$10.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $10.52 / $10.52	Professional		$7.91	$10.52	$10.52
United Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.54 / $12.76	Professional		$4.46	$5.54	$12.76