Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $21.59 / $31.59	Facility		$10.39	$21.59	$31.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $12.57	Professional		$10.39	$10.39	$12.57
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $11.27 / $8,459.92	Facility		$9.61	$11.27	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $10.78 / $10.78	Professional		$10.78	$10.78	$10.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $10.39 / $10.39	Facility		$9.80	$10.39	$10.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $10.78	Professional		$10.39	$10.39	$10.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $11.27 / $12.99	Professional		$10.78	$11.27	$12.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $21.59 / $31.59	Facility		$10.50	$21.59	$31.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.50 / $25.56	Professional		$10.39	$10.50	$25.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $14.25 / $27.40	Professional		$7.80	$14.25	$27.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $10.39 / $10.39	Facility		$9.80	$10.39	$10.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $11.27	Professional		$10.39	$10.39	$11.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10.41 / $10.41 / $12.08	Facility		$10.41	$10.41	$12.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $10.41 / $12.08	Professional		$10.41	$10.41	$12.08
United Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $11.01 / $14.68	Professional		$10.39	$11.01	$14.68