Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.87 / $4.33 / $29.23	Facility		$1.87	$4.33	$29.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.89 / $2.58	Professional		$1.88	$1.89	$2.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.24 / $1.24	Professional		$1.24	$1.24	$1.24
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $2.04 / $8,459.92	Facility		$1.74	$2.04	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Professional		$1.95	$1.95	$1.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $1.88 / $1.88	Facility		$1.78	$1.88	$1.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $1.88	Professional		$1.88	$1.88	$1.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.65	Professional		$1.95	$1.95	$2.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.87 / $4.33 / $5.62	Facility		$1.87	$4.33	$5.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $1.90 / $4.76	Professional		$1.87	$1.90	$4.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $36.29 / $46.60	Professional		$27.40	$36.29	$46.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $1.88 / $1.88	Facility		$1.78	$1.88	$1.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $1.95	Professional		$1.88	$1.88	$1.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $14.82 / $17.20	Facility		$14.82	$14.82	$17.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $14.82 / $17.20	Professional		$14.82	$14.82	$17.20
United Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.99 / $3.44	Professional		$1.88	$1.99	$3.44