Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.82 / $12.00 / $32.40	Facility		$11.82	$12.00	$32.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $12.36	Professional		$11.88	$11.88	$12.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $11.88 / $8,639.91	Facility		$10.14	$11.88	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $11.88	Professional		$11.88	$11.88	$11.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $11.88 / $11.88	Facility		$11.88	$11.88	$11.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $12.33	Professional		$11.88	$11.88	$12.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.89 / $15.75	Professional		$12.33	$12.89	$15.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.82 / $18.05 / $183.06	Facility		$11.82	$18.05	$183.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $35.28	Professional		$11.88	$11.88	$35.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $15.70 / $22.10	Professional		$12.90	$15.70	$22.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $11.88 / $11.88	Facility		$11.21	$11.88	$11.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $13.45	Professional		$11.88	$11.88	$13.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $12.72 / $14.76	Facility		$12.72	$12.72	$14.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $12.72 / $14.76	Professional		$12.72	$12.72	$14.76
United Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $11.88 / $15.50	Professional		$11.47	$11.88	$15.50