Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.65 / $9.65 / $12.06	Facility		$9.65	$9.65	$12.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $12.06 / $19.98	Professional		$9.07	$12.06	$19.98
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 $19.68 / $19.68 / $19.68	Professional		$19.68	$19.68	$19.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $23.06 / $23.06	Facility		$23.06	$23.06	$23.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $8.02 / $8.02	Professional		$8.02	$8.02	$8.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $26.65 / $28.54	Professional		$20.66	$26.65	$28.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $9.65 / $9.65 / $12.06	Facility		$9.65	$9.65	$12.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $12.06 / $20.87	Professional		$7.81	$12.06	$20.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $29.40 / $38.79	Professional		$24.20	$29.40	$38.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $23.06 / $23.06	Facility		$23.06	$23.06	$23.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $8.02 / $8.02	Professional		$8.02	$8.02	$8.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $18.73 / $18.73	Facility		$11.52	$18.73	$18.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $18.73 / $18.73	Professional		$11.52	$18.73	$18.73
United Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $9.82 / $17.04	Professional		$6.54	$9.82	$17.04