Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.38 / $160.13 / $244.64	Facility		$47.38	$160.13	$244.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.21 / $47.96 / $376.09	Professional		$46.21	$47.96	$376.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $202.02 / $269.20 / $8,459.92	Facility		$202.02	$269.20	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $45.62 / $45.62	Professional		$45.62	$45.62	$45.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.51 / $86.58 / $194.50	Facility		$55.51	$86.58	$194.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.62 / $62.61 / $132.56	Professional		$27.62	$62.61	$132.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $78.95 / $111.13	Professional		$34.79	$78.95	$111.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $160.13 / $241.56	Facility		$49.72	$160.13	$241.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $73.11 / $241.56	Professional		$43.87	$73.11	$241.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $87.73 / $116.98	Professional		$86.57	$87.73	$116.98
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $56.99 / $97.31 / $194.50	Facility		$56.99	$97.31	$194.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $62.74 / $132.56	Professional		$38.09	$62.74	$132.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $58.49 / $137.44	Facility		$58.49	$58.49	$137.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $58.49 / $137.44	Professional		$58.49	$58.49	$137.44
United Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $35.09 / $78.09	Professional		$24.57	$35.09	$78.09