Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.87 / $34.44 / $64.77	Facility		$14.87	$34.44	$64.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $17.80	Professional		$4.19	$4.19	$17.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $4.55 / $8,459.92	Facility		$3.88	$4.55	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $4.34 / $4.34	Professional		$4.34	$4.34	$4.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $4.19 / $4.19	Facility		$3.95	$4.19	$4.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $4.55	Professional		$4.19	$4.19	$4.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $4.34 / $5.87	Professional		$4.34	$4.34	$5.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.87 / $25.13 / $44.75	Facility		$14.87	$25.13	$44.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $14.87 / $37.97	Professional		$4.19	$14.87	$37.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $138.69 / $244.90	Professional		$27.40	$138.69	$244.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $4.19 / $4.19	Facility		$3.95	$4.19	$4.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $5.34	Professional		$4.19	$4.19	$5.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $44.12	Facility		$38.02	$38.02	$44.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $44.12	Professional		$38.02	$38.02	$44.12
United Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.44 / $7.67	Professional		$4.19	$4.44	$7.67