Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.72 / $5.72 / $7.15	Facility		$5.72	$5.72	$7.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $7.15 / $17.07	Professional		$5.72	$7.15	$17.07
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 $11.67 / $11.67 / $11.67	Professional		$11.67	$11.67	$11.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $13.68 / $13.68	Facility		$13.68	$13.68	$13.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Professional		$4.76	$4.76	$4.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $15.80 / $16.92	Professional		$12.25	$15.80	$16.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.72 / $5.72 / $7.15	Facility		$5.72	$5.72	$7.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $7.40 / $27.00	Professional		$6.44	$7.40	$27.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $17.39 / $23.00	Professional		$14.40	$17.39	$23.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $13.68 / $13.68	Facility		$13.68	$13.68	$13.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Professional		$4.76	$4.76	$4.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.84 / $11.11 / $11.11	Facility		$6.84	$11.11	$11.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $11.11 / $11.11	Professional		$6.84	$11.11	$11.11
United Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $5.82 / $10.10	Professional		$4.95	$5.82	$10.10