Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $2.47 / $66.53	Facility		$1.71	$2.47	$66.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $2.20	Professional		$1.71	$1.71	$2.20
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 $1.61 / $1.71 / $1.71	Facility		$1.61	$1.71	$1.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $1.78	Professional		$1.71	$1.71	$1.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $1.86 / $2.11	Professional		$1.77	$1.86	$2.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $4.51 / $332.66	Facility		$1.71	$4.51	$332.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.73 / $6.07	Professional		$1.71	$1.73	$6.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.79 / $4.05	Professional		$2.52	$2.79	$4.05
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $1.71 / $1.71	Facility		$1.61	$1.71	$1.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $1.94	Professional		$1.71	$1.71	$1.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $1.81 / $2.10	Facility		$1.81	$1.81	$2.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $2.10	Professional		$1.81	$1.81	$2.10
United Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $3.13	Professional		$1.71	$1.71	$3.13