Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.53 / $193.01 / $286.67	Facility		$55.53	$193.01	$286.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $55.53 / $440.78	Professional		$35.93	$55.53	$440.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $205.68 / $274.08 / $8,459.92	Facility		$205.68	$274.08	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $53.47 / $53.47	Professional		$53.47	$53.47	$53.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.06 / $101.10 / $227.10	Facility		$65.06	$101.10	$227.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $71.31 / $154.78	Professional		$27.61	$71.31	$154.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $92.54 / $130.25	Professional		$40.79	$92.54	$130.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $58.27 / $193.01 / $283.11	Facility		$58.27	$193.01	$283.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $58.27 / $283.11	Professional		$43.19	$58.27	$283.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.45 / $102.83 / $137.10	Professional		$101.45	$102.83	$137.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $66.75 / $114.05 / $227.10	Facility		$66.75	$114.05	$227.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $73.11 / $154.78	Professional		$32.13	$73.11	$154.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $68.55 / $68.55	Facility		$66.00	$68.55	$68.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $68.55 / $68.55	Professional		$66.00	$68.55	$68.55
United Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $41.13 / $91.53	Professional		$28.79	$41.13	$91.53