Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $11.13 / $17.68	Facility		$11.13	$11.13	$17.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $13.92 / $18.14	Professional		$9.88	$13.92	$18.14
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 $22.70 / $22.70 / $22.70	Professional		$22.70	$22.70	$22.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.60 / $26.60 / $26.60	Facility		$26.60	$26.60	$26.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $11.59	Professional		$11.59	$11.59	$11.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $30.74 / $32.92	Professional		$23.84	$30.74	$32.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $11.13 / $17.68	Facility		$11.13	$11.13	$17.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $13.92 / $21.47	Professional		$10.59	$13.92	$21.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $29.50 / $44.70	Professional		$16.89	$29.50	$44.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $26.60 / $26.60 / $26.60	Facility		$26.60	$26.60	$26.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $11.59	Professional		$11.59	$11.59	$11.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.62 / $17.05 / $21.61	Facility		$14.62	$17.05	$21.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $21.61 / $21.61	Professional		$14.62	$21.61	$21.61
United Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $11.33 / $18.88	Professional		$7.74	$11.33	$18.88