Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.67 / $145.85 / $215.20	Facility		$41.67	$145.85	$215.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $42.19 / $330.82	Professional		$40.65	$42.19	$330.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $177.70 / $236.80 / $8,459.92	Facility		$177.70	$236.80	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $40.13 / $40.13	Professional		$40.13	$40.13	$40.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.82 / $75.94 / $170.60	Facility		$48.82	$75.94	$170.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $55.01 / $116.27	Professional		$24.22	$55.01	$116.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $69.45 / $97.76	Professional		$30.62	$69.45	$97.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $43.73 / $145.85 / $215.20	Facility		$43.73	$145.85	$215.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $64.31 / $330.82	Professional		$38.59	$64.31	$330.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.15 / $77.17 / $102.90	Professional		$76.15	$77.17	$102.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $50.06 / $85.59 / $170.60	Facility		$50.06	$85.59	$170.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $55.03 / $116.27	Professional		$33.33	$55.03	$116.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $51.45 / $288.38	Facility		$51.45	$51.45	$288.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $51.45 / $288.38	Professional		$51.45	$51.45	$288.38
United Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $30.87 / $72.03	Professional		$21.61	$30.87	$72.03