Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.35 / $99.23 / $146.38	Facility		$28.35	$99.23	$146.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $28.86 / $225.05	Professional		$28.00	$28.86	$225.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $120.89 / $161.09 / $8,459.92	Facility		$120.89	$161.09	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $27.30 / $27.30	Professional		$27.30	$27.30	$27.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $51.76 / $116.27	Facility		$33.22	$51.76	$116.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $37.28 / $79.23	Professional		$16.51	$37.28	$79.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $47.25 / $79.69	Professional		$20.83	$47.25	$79.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.75 / $99.23 / $144.55	Facility		$29.75	$99.23	$144.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $29.75 / $225.05	Professional		$26.25	$29.75	$225.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.80 / $52.50 / $70.00	Professional		$51.80	$52.50	$70.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $58.23 / $116.27	Facility		$34.00	$58.23	$116.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $37.51 / $79.23	Professional		$22.67	$37.51	$79.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $41.00	Facility		$35.00	$35.00	$41.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $41.00	Professional		$35.00	$35.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $21.00 / $63.36	Professional		$14.70	$21.00	$63.36