Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $1.28 / $2.02	Facility		$0.93	$1.28	$2.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $1.60 / $2.02	Professional		$0.92	$1.60	$2.02
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 $2.61 / $2.61 / $2.61	Professional		$2.61	$2.61	$2.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $3.06 / $3.06	Facility		$3.06	$3.06	$3.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.33 / $1.33	Professional		$1.33	$1.33	$1.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $3.53 / $3.78	Professional		$2.74	$3.53	$3.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $1.28 / $2.02	Facility		$0.93	$1.28	$2.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $1.60 / $2.47	Professional		$0.92	$1.60	$2.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.80 / $5.20	Professional		$3.30	$3.80	$5.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $3.06 / $3.06	Facility		$3.06	$3.06	$3.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.33 / $1.33	Professional		$1.33	$1.33	$1.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $2.49 / $2.49	Facility		$1.75	$2.49	$2.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.49 / $2.49	Professional		$1.75	$2.49	$2.49
United Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.31 / $2.36	Professional		$1.00	$1.31	$2.36