Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.66 / $103.97 / $153.16	Facility		$29.66	$103.97	$153.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $30.03 / $235.47	Professional		$28.93	$30.03	$235.47
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $126.48 / $168.54 / $8,459.92	Facility		$126.48	$168.54	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $28.56 / $28.56	Professional		$28.56	$28.56	$28.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.75 / $54.18 / $121.70	Facility		$34.75	$54.18	$121.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $39.09 / $82.94	Professional		$17.28	$39.09	$82.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $49.44 / $69.58	Professional		$21.79	$49.44	$69.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $31.13 / $103.97 / $153.16	Facility		$31.13	$103.97	$153.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.47 / $45.78 / $151.24	Professional		$27.47	$45.78	$151.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $54.93 / $73.23	Professional		$54.20	$54.93	$73.23
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $35.58 / $60.92 / $121.70	Facility		$35.58	$60.92	$121.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $39.26 / $82.94	Professional		$23.81	$39.26	$82.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $36.61 / $112.05	Facility		$36.61	$36.61	$112.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $36.61 / $112.05	Professional		$36.61	$36.61	$112.05
United Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $21.97 / $48.90	Professional		$15.38	$21.97	$48.90