Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $7.08 / $20.00	Facility		$0.28	$7.08	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $0.35	Professional		$0.24	$0.24	$0.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.35 / $8,459.92	Facility		$0.30	$0.35	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $0.24	Professional		$0.24	$0.24	$0.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.24 / $85.00	Facility		$0.23	$0.24	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $0.24	Professional		$0.24	$0.24	$0.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.26 / $0.26	Professional		$0.25	$0.26	$0.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $3.73 / $20.00	Facility		$0.28	$3.73	$20.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.25 / $0.87	Professional		$0.24	$0.25	$0.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.38 / $0.56	Professional		$0.24	$0.38	$0.56
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.24 / $85.00	Facility		$0.23	$0.24	$85.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $0.25	Professional		$0.24	$0.24	$0.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.17	Facility		$0.15	$0.15	$0.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.17	Professional		$0.15	$0.15	$0.17
United Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $0.31	Professional		$0.24	$0.24	$0.31