Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.77 / $7.77 / $12.34	Facility		$7.77	$7.77	$12.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $9.72 / $12.68	Professional		$5.51	$9.72	$12.68
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $15.85 / $15.85	Professional		$12.07	$15.85	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $9.23 / $9.51	Facility		$9.23	$9.23	$9.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $7.85 / $9.51	Professional		$6.47	$7.85	$9.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $15.85 / $30.12	Professional		$14.58	$15.85	$30.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $7.77 / $7.77 / $12.34	Facility		$7.77	$7.77	$12.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $9.72 / $13.88	Professional		$4.45	$9.72	$13.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $22.60 / $31.20	Professional		$19.60	$22.60	$31.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $9.23 / $9.51	Facility		$9.23	$9.23	$9.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $7.85 / $11.20	Professional		$6.47	$7.85	$11.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.33 / $15.09 / $15.09	Facility		$11.33	$15.09	$15.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $15.09 / $15.09	Professional		$11.33	$15.09	$15.09
United Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $7.91 / $14.28	Professional		$5.40	$7.91	$14.28