Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.50 / $32.68	Facility		$12.49	$12.50	$32.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $12.62	Professional		$12.49	$12.49	$12.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $10.66 / $12.49 / $8,639.91	Facility		$10.66	$12.49	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Professional		$12.49	$12.49	$12.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Facility		$12.49	$12.49	$12.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $12.96	Professional		$12.49	$12.49	$12.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $16.50	Professional		$12.49	$12.49	$16.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.50 / $32.68	Facility		$12.49	$12.50	$32.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $14.88	Professional		$12.49	$12.49	$14.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $13.60 / $15.70	Professional		$12.90	$13.60	$15.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $12.49 / $12.49	Facility		$11.78	$12.49	$12.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $14.14	Professional		$12.49	$12.49	$14.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $12.86 / $14.92	Facility		$12.86	$12.86	$14.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $14.92	Professional		$12.86	$12.86	$14.92
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $17.64	Professional		$12.49	$12.49	$17.64