Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.27 / $134.13 / $197.63	Facility		$38.27	$134.13	$197.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.33 / $38.75 / $303.82	Professional		$37.33	$38.75	$303.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $217.47 / $8,459.92	Facility		$163.19	$217.47	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $36.86 / $36.86	Professional		$36.86	$36.86	$36.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.84 / $69.65 / $156.47	Facility		$44.84	$69.65	$156.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $50.31 / $106.64	Professional		$22.22	$50.31	$106.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $63.79 / $89.78	Professional		$28.12	$63.79	$89.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $134.13 / $197.63	Facility		$40.15	$134.13	$197.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $59.06 / $195.14	Professional		$35.44	$59.06	$195.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $70.88 / $94.50	Professional		$69.93	$70.88	$94.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $45.97 / $78.59 / $156.47	Facility		$45.97	$78.59	$156.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $50.47 / $106.64	Professional		$30.61	$50.47	$106.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $47.25 / $199.17	Facility		$47.25	$47.25	$199.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $47.25 / $199.17	Professional		$47.25	$47.25	$199.17
United Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $56.70 / $56.70	Facility		$47.25	$56.70	$56.70
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $28.35 / $86.47	Professional		$19.85	$28.35	$86.47