Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $9.93	Facility		$7.94	$7.94	$9.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.93 / $27.48	Professional		$7.94	$9.93	$27.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.19 / $16.19	Professional		$16.19	$16.19	$16.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Facility		$18.97	$18.97	$18.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $6.60 / $6.60	Professional		$6.60	$6.60	$6.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $21.92 / $23.48	Professional		$17.00	$21.92	$23.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $9.93	Facility		$7.94	$7.94	$9.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.28 / $27.48	Professional		$7.94	$10.28	$27.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $24.20 / $31.90	Professional		$19.89	$24.20	$31.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Facility		$18.97	$18.97	$18.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $6.60 / $6.60	Professional		$6.60	$6.60	$6.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $9.49 / $15.41 / $15.41	Facility		$9.49	$15.41	$15.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $15.41 / $15.41	Professional		$9.49	$15.41	$15.41
United Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $8.08 / $13.46	Professional		$5.72	$8.08	$13.46