Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.94 / $258.30 / $397.26	Facility		$76.94	$258.30	$397.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.04 / $77.89 / $610.79	Professional		$75.04	$77.89	$610.79
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $328.09 / $437.19 / $8,459.92	Facility		$328.09	$437.19	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $74.09 / $74.09	Professional		$74.09	$74.09	$74.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.14 / $140.28 / $315.12	Facility		$90.14	$140.28	$315.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.74 / $101.34 / $214.77	Professional		$44.74	$101.34	$214.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $128.24 / $180.48	Professional		$56.52	$128.24	$180.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $80.73 / $258.30 / $392.31	Facility		$80.73	$258.30	$392.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $118.74 / $392.31	Professional		$71.23	$118.74	$392.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.59 / $142.49 / $189.98	Professional		$140.59	$142.49	$189.98
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $92.56 / $158.02 / $315.12	Facility		$92.56	$158.02	$315.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $61.67 / $101.65 / $214.77	Professional		$61.67	$101.65	$214.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $94.99 / $94.99 / $183.10	Facility		$94.99	$94.99	$183.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $94.99 / $183.10	Professional		$94.99	$94.99	$183.10
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $56.99 / $142.49	Professional		$39.90	$56.99	$142.49