Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.80 / $6.80 / $10.81	Facility		$6.80	$6.80	$10.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $8.51 / $11.10	Professional		$6.04	$8.51	$11.10
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 $13.88 / $13.88 / $13.88	Professional		$13.88	$13.88	$13.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $16.26 / $16.26	Facility		$16.26	$16.26	$16.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $7.09 / $7.09	Professional		$7.09	$7.09	$7.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $18.79 / $20.13	Professional		$14.57	$18.79	$20.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.80 / $6.80 / $10.81	Facility		$6.80	$6.80	$10.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $8.51 / $13.12	Professional		$6.47	$8.51	$13.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $19.80 / $27.30	Professional		$10.30	$19.80	$27.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $16.26 / $16.26	Facility		$16.26	$16.26	$16.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $7.09 / $7.09	Professional		$7.09	$7.09	$7.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $9.91 / $10.42 / $13.21	Facility		$9.91	$10.42	$13.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $13.21 / $13.21	Professional		$9.91	$13.21	$13.21
United Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $6.92 / $11.54	Professional		$5.42	$6.92	$11.54