Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $5.43 / $9.61	Facility		$3.88	$5.43	$9.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $3.88 / $4.19	Professional		$3.65	$3.88	$4.19
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.79 / $8,459.92	Facility		$3.24	$3.79	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $3.79 / $3.79	Professional		$3.79	$3.79	$3.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $3.88 / $3.88	Facility		$3.88	$3.88	$3.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $3.88 / $3.88	Professional		$3.88	$3.88	$3.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $3.88 / $4.95	Professional		$3.88	$3.88	$4.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $5.43 / $9.61	Facility		$3.88	$5.43	$9.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $3.88 / $7.81	Professional		$3.65	$3.88	$7.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $7.40 / $27.40	Professional		$6.10	$7.40	$27.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $3.88 / $3.88	Facility		$3.88	$3.88	$3.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $3.88 / $3.88	Professional		$3.88	$3.88	$3.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $3.65 / $4.23	Facility		$3.65	$3.65	$4.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $3.65 / $4.23	Professional		$3.65	$3.65	$4.23
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.03 / $5.13	Professional		$3.80	$4.03	$5.13