Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $11.61 / $15.08	Facility		$4.29	$11.61	$15.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.33 / $5.89	Professional		$4.29	$4.33	$5.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3.97 / $4.65 / $8,459.92	Facility		$3.97	$4.65	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.45 / $4.45	Professional		$4.45	$4.45	$4.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.29 / $4.29	Facility		$4.05	$4.29	$4.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $4.29	Professional		$4.29	$4.29	$4.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $4.65 / $6.01	Professional		$4.46	$4.65	$6.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $9.86 / $15.08	Facility		$5.01	$9.86	$15.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.69 / $9.86	Professional		$4.29	$4.69	$9.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $15.10 / $27.40	Professional		$6.36	$15.10	$27.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.29 / $4.29	Facility		$4.05	$4.29	$4.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $4.45	Professional		$4.29	$4.29	$4.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $7.00	Facility		$6.03	$6.03	$7.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $7.00	Professional		$6.03	$6.03	$7.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $7.85	Professional		$4.29	$4.29	$7.85