Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $5.30 / $6.63	Facility		$5.30	$5.30	$6.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $7.93 / $25.22	Professional		$5.30	$7.93	$25.22
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 $10.81 / $10.81 / $10.81	Professional		$10.81	$10.81	$10.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.67 / $12.67 / $12.67	Facility		$12.67	$12.67	$12.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $4.41 / $4.41	Professional		$4.41	$4.41	$4.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $14.64 / $15.67	Professional		$11.35	$14.64	$15.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $5.30 / $6.63	Facility		$5.30	$5.30	$6.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $9.07 / $27.00	Professional		$6.28	$9.07	$27.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $16.10 / $21.30	Professional		$13.30	$16.10	$21.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.67 / $12.67 / $12.67	Facility		$12.67	$12.67	$12.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $4.41 / $4.41	Professional		$4.41	$4.41	$4.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.32 / $10.29 / $10.29	Facility		$6.32	$10.29	$10.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $10.29 / $10.29	Professional		$6.32	$10.29	$10.29
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.39 / $9.36	Professional		$4.37	$5.39	$9.36