Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.83 / $174.41 / $257.29	Facility		$49.83	$174.41	$257.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $50.45 / $395.57	Professional		$48.60	$50.45	$395.57
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $212.48 / $283.14 / $8,459.92	Facility		$212.48	$283.14	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $47.99 / $47.99	Professional		$47.99	$47.99	$47.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.39 / $90.94 / $204.28	Facility		$58.39	$90.94	$204.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $65.87 / $139.22	Professional		$29.01	$65.87	$139.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $83.05 / $116.89	Professional		$36.60	$83.05	$116.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $52.29 / $174.41 / $254.08	Facility		$52.29	$174.41	$254.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $70.75 / $254.08	Professional		$46.14	$70.75	$254.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.05 / $92.28 / $123.04	Professional		$91.05	$92.28	$123.04
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $102.35 / $204.28	Facility		$59.82	$102.35	$204.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $65.90 / $139.22	Professional		$39.90	$65.90	$139.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $61.52 / $67.67	Facility		$61.52	$61.52	$67.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $67.67	Professional		$61.52	$61.52	$67.67
United Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $36.90 / $92.28	Professional		$25.84	$36.90	$92.28