Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $4.72 / $97.57	Facility		$1.85	$4.72	$97.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $2.21	Professional		$1.83	$1.83	$2.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.99 / $8,459.92	Facility		$1.70	$1.99	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $1.90 / $1.90	Professional		$1.90	$1.90	$1.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $1.83 / $1.83	Facility		$1.73	$1.83	$1.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $1.90	Professional		$1.83	$1.83	$1.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $1.99 / $2.29	Professional		$1.90	$1.99	$2.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.62 / $2.62 / $2.75	Facility		$2.62	$2.62	$2.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $4.54 / $97.57	Facility		$1.85	$4.54	$97.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.85 / $3.62	Professional		$1.83	$1.85	$3.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $3.40 / $3.40	Professional		$2.80	$3.40	$3.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $1.83 / $1.83	Facility		$1.73	$1.83	$1.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $1.95	Professional		$1.83	$1.83	$1.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.62 / $1.87	Facility		$1.62	$1.62	$1.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.87	Professional		$1.62	$1.62	$1.87
United Facility/Professional Facility Modifier Low / Median / High Price $1.83 / $1.83 / $1.83	Facility		$1.83	$1.83	$1.83
United Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $2.39	Professional		$1.83	$1.83	$2.39