Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $3.93 / $5.11	Facility		$1.35	$3.93	$5.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $2.00	Professional		$1.35	$1.35	$2.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $1.47 / $8,459.92	Facility		$1.25	$1.47	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.40 / $1.40	Professional		$1.40	$1.40	$1.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $1.35 / $1.35	Facility		$1.28	$1.35	$1.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.40	Professional		$1.35	$1.35	$1.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.47 / $1.90	Professional		$1.41	$1.47	$1.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.82 / $33.82 / $33.82	Facility		$33.82	$33.82	$33.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $3.93 / $5.11	Facility		$1.69	$3.93	$5.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.69 / $2.86	Professional		$1.35	$1.69	$2.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $5.50 / $6.60	Professional		$1.30	$5.50	$6.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $1.35 / $1.35	Facility		$1.28	$1.35	$1.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.53	Professional		$1.35	$1.35	$1.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $0.79 / $0.91	Facility		$0.79	$0.79	$0.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.79 / $0.91	Professional		$0.79	$0.79	$0.91
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $2.22	Professional		$1.35	$1.35	$2.22