Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $38.09	Facility		$5.05	$5.05	$38.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $6.53 / $21.65	Professional		$5.05	$6.53	$21.65
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 $10.29 / $10.29 / $10.29	Professional		$10.29	$10.29	$10.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $12.06 / $12.06	Facility		$12.06	$12.06	$12.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.20 / $4.20	Professional		$4.20	$4.20	$4.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $13.93 / $14.92	Professional		$10.80	$13.93	$14.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.71 / $41.71 / $41.71	Facility		$41.71	$41.71	$41.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $6.31 / $38.09	Facility		$5.05	$6.31	$38.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $6.53 / $21.65	Professional		$5.05	$6.53	$21.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $15.30 / $20.30	Professional		$12.70	$15.30	$20.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $12.06 / $12.06	Facility		$12.06	$12.06	$12.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.20 / $4.20	Professional		$4.20	$4.20	$4.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $9.80 / $9.80	Facility		$6.03	$9.80	$9.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.80 / $9.80	Professional		$6.03	$9.80	$9.80
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.14 / $8.92	Professional		$4.37	$5.14	$8.92