Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.83 / $4.83 / $6.04	Facility		$4.83	$4.83	$6.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $6.04 / $9.99	Professional		$4.83	$6.04	$9.99
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 $9.85 / $9.85 / $9.85	Professional		$9.85	$9.85	$9.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $11.54 / $11.54	Facility		$11.54	$11.54	$11.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $4.01	Professional		$4.01	$4.01	$4.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $13.34 / $14.28	Professional		$10.34	$13.34	$14.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.83 / $4.83 / $6.04	Facility		$4.83	$4.83	$6.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $6.09 / $10.64	Professional		$4.83	$6.09	$10.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $14.70 / $19.39	Professional		$12.10	$14.70	$19.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $11.54 / $11.54	Facility		$11.54	$11.54	$11.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $4.01	Professional		$4.01	$4.01	$4.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.76 / $9.38 / $9.38	Facility		$5.76	$9.38	$9.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $9.38 / $9.38	Professional		$5.76	$9.38	$9.38
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.91 / $8.52	Professional		$3.98	$4.91	$8.52