Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $5.08	Facility		$4.00	$4.00	$5.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
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 $4.72 / $4.90 / $4.90	Professional		$4.72	$4.90	$4.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.76 / $1.76	Professional		$1.76	$1.76	$1.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $5.08	Facility		$4.00	$4.00	$5.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.76 / $1.76	Professional		$1.76	$1.76	$1.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.83 / $2.83 / $2.83	Facility		$2.83	$2.83	$2.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $2.83 / $2.83	Professional		$2.83	$2.83	$2.83