Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $127.26 / $187.73	Facility		$36.36	$127.26	$187.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $36.36 / $288.64	Professional		$28.12	$36.36	$288.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $155.05 / $206.61 / $8,459.92	Facility		$155.05	$206.61	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $35.01 / $35.01	Professional		$35.01	$35.01	$35.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.60 / $66.27 / $148.86	Facility		$42.60	$66.27	$148.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $47.77 / $101.46	Professional		$21.14	$47.77	$101.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $60.60 / $100.15	Professional		$26.71	$60.60	$100.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $127.26 / $185.40	Facility		$38.15	$127.26	$185.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $38.15 / $185.40	Professional		$28.28	$38.15	$185.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.44 / $67.33 / $89.78	Professional		$66.44	$67.33	$89.78
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $43.76 / $74.69 / $148.86	Facility		$43.76	$74.69	$148.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $48.02 / $101.46	Professional		$29.25	$48.02	$101.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $44.89 / $44.89	Facility		$39.97	$44.89	$44.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $44.89 / $44.89	Professional		$39.97	$44.89	$44.89
United Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $26.93 / $81.27	Professional		$18.85	$26.93	$81.27