Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.36 / $1.36 / $2.16	Facility		$1.36	$1.36	$2.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.70 / $2.22	Professional		$1.21	$1.70	$2.22
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 $2.78 / $2.78 / $3.12	Professional		$2.78	$2.78	$3.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $3.25 / $3.25	Facility		$3.25	$3.25	$3.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $1.42	Professional		$1.42	$1.42	$1.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $3.76 / $4.03	Professional		$2.92	$3.76	$4.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.36 / $1.36 / $2.16	Facility		$1.36	$1.36	$2.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.70 / $2.62	Professional		$1.29	$1.70	$2.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $4.00 / $5.50	Professional		$2.10	$4.00	$5.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $3.25 / $3.25	Facility		$3.25	$3.25	$3.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $1.42	Professional		$1.42	$1.42	$1.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $2.09 / $2.64	Facility		$1.80	$2.09	$2.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $2.64 / $2.64	Professional		$1.80	$2.64	$2.64
United Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $1.40 / $2.50	Professional		$0.95	$1.40	$2.50