Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $13.08	Facility		$10.47	$10.47	$13.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $13.08 / $26.64	Professional		$9.96	$13.08	$26.64
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 $21.35 / $21.35 / $21.35	Professional		$21.35	$21.35	$21.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $25.02 / $25.02	Facility		$25.02	$25.02	$25.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $28.91 / $30.96	Professional		$22.42	$28.91	$30.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $13.08	Facility		$10.47	$10.47	$13.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $13.08 / $26.64	Professional		$9.96	$13.08	$26.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $26.20 / $42.10	Professional		$8.30	$26.20	$42.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $25.02 / $25.02	Facility		$25.02	$25.02	$25.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $20.32 / $20.32	Facility		$12.49	$20.32	$20.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $20.32 / $20.32	Professional		$12.49	$20.32	$20.32
United Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $10.75 / $18.47	Professional		$7.10	$10.75	$18.47