Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.23 / $2.79 / $17.39	Facility		$2.23	$2.79	$17.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $2.79 / $3.64	Professional		$1.98	$2.79	$3.64
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 $4.55 / $4.55 / $4.55	Professional		$4.55	$4.55	$4.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.33 / $5.33 / $5.33	Facility		$5.33	$5.33	$5.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.31 / $2.31	Professional		$2.31	$2.31	$2.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $6.16 / $6.60	Professional		$4.78	$6.16	$6.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.23 / $3.54 / $17.39	Facility		$2.23	$3.54	$17.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.79 / $4.30	Professional		$2.12	$2.79	$4.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $5.90 / $9.00	Professional		$3.40	$5.90	$9.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5.33 / $5.33 / $5.33	Facility		$5.33	$5.33	$5.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.31 / $2.31	Professional		$2.31	$2.31	$2.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $3.41 / $4.33	Facility		$3.25	$3.41	$4.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $4.33 / $4.33	Professional		$3.25	$4.33	$4.33
United Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $2.27 / $4.09	Professional		$1.55	$2.27	$4.09