Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $212.80 / $643.95	Facility		$1.42	$212.80	$643.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $2.12	Professional		$1.42	$1.42	$2.12
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5.70 / $6.70 / $8,459.92	Facility		$5.70	$6.70	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $6.70 / $6.70	Professional		$6.70	$6.70	$6.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.41 / $1.41	Facility		$1.33	$1.41	$1.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.47	Professional		$1.41	$1.41	$1.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.53 / $1.74	Professional		$1.31	$1.53	$1.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $368.00 / $905.85	Facility		$1.82	$368.00	$905.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.43 / $2.12	Professional		$1.42	$1.43	$2.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $155.12 / $160.29 / $222.97	Facility		$155.12	$160.29	$222.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $2.31 / $3.35	Professional		$1.98	$2.31	$3.35
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.41 / $1.41	Facility		$1.33	$1.41	$1.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.55	Professional		$1.41	$1.41	$1.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $1.42 / $1.65	Facility		$1.42	$1.42	$1.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $1.65	Professional		$1.42	$1.42	$1.65
United Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $2.60	Professional		$1.42	$1.42	$2.60