Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $14.62 / $38.22	Facility		$12.86	$14.62	$38.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $13.25	Professional		$12.86	$12.86	$13.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $12.86 / $8,639.91	Facility		$10.98	$12.86	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $12.86	Professional		$12.86	$12.86	$12.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $12.86 / $12.86	Facility		$12.86	$12.86	$12.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $12.86	Professional		$12.86	$12.86	$12.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $17.41	Professional		$12.86	$12.86	$17.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $14.62 / $38.22	Facility		$12.86	$14.62	$38.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $17.39	Professional		$12.86	$12.86	$17.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.70 / $15.80	Professional		$13.00	$13.70	$15.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $12.86 / $12.86	Facility		$12.13	$12.86	$12.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $13.35	Professional		$12.86	$12.86	$13.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $9.78 / $9.78 / $11.36	Facility		$9.78	$9.78	$11.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $9.78 / $11.36	Professional		$9.78	$9.78	$11.36
United Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $17.76	Professional		$12.86	$12.86	$17.76