Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $2.45 / $3.90	Facility		$2.45	$2.45	$3.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $2.95 / $3.90	Professional		$1.52	$2.95	$3.90
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 $3.81 / $5.00 / $5.00	Professional		$3.81	$5.00	$5.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $3.01 / $3.72	Facility		$3.01	$3.01	$3.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $3.72	Professional		$2.56	$2.56	$3.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.00 / $9.50	Professional		$4.59	$5.00	$9.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $2.45 / $3.90	Facility		$2.45	$2.45	$3.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $2.90 / $4.13	Professional		$1.41	$2.90	$4.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $7.10 / $9.90	Professional		$6.20	$7.10	$9.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $3.01 / $3.72	Facility		$3.01	$3.01	$3.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $5.63	Professional		$2.56	$2.56	$5.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.58 / $4.76 / $4.76	Facility		$3.58	$4.76	$4.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $4.76 / $4.76	Professional		$3.58	$4.76	$4.76
United Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $2.50 / $5.00	Professional		$1.76	$2.50	$5.00