Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.25 / $8.25 / $10.32	Facility		$8.25	$8.25	$10.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $10.32 / $16.23	Professional		$8.25	$10.32	$16.23
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 $16.82 / $16.82 / $16.82	Professional		$16.82	$16.82	$16.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $19.73 / $19.73	Facility		$19.73	$19.73	$19.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $6.87 / $6.87	Professional		$6.87	$6.87	$6.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $22.79 / $24.40	Professional		$17.67	$22.79	$24.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $8.25 / $8.25 / $10.32	Facility		$8.25	$8.25	$10.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $10.32 / $16.23	Professional		$8.25	$10.32	$16.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $25.10 / $33.20	Professional		$20.70	$25.10	$33.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $19.73 / $19.73	Facility		$19.73	$19.73	$19.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $6.87 / $6.87	Professional		$6.87	$6.87	$6.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $16.02 / $16.02	Facility		$9.86	$16.02	$16.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $16.02 / $16.02	Professional		$9.86	$16.02	$16.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $8.39 / $13.99	Professional		$5.60	$8.39	$13.99