Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.43 / $208.01 / $306.83	Facility		$59.43	$208.01	$306.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $59.43 / $471.77	Professional		$45.26	$59.43	$471.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $260.56 / $347.21 / $8,459.92	Facility		$260.56	$347.21	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $57.23 / $57.23 / $57.23	Professional		$57.23	$57.23	$57.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.63 / $108.35 / $243.40	Facility		$69.63	$108.35	$243.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $67.92 / $131.29	Professional		$33.79	$67.92	$131.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.66 / $99.05 / $139.40	Professional		$43.66	$99.05	$139.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $62.36 / $208.01 / $303.02	Facility		$62.36	$208.01	$303.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $62.36 / $303.02	Professional		$51.30	$62.36	$303.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $108.59 / $110.06 / $146.74	Professional		$108.59	$110.06	$146.74
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $71.47 / $122.06 / $243.40	Facility		$71.47	$122.06	$243.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $69.75 / $131.79	Professional		$34.32	$69.75	$131.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $73.37 / $82.98	Facility		$73.37	$73.37	$82.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $73.37 / $82.98	Professional		$73.37	$73.37	$82.98
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $44.02 / $97.96	Professional		$30.82	$44.02	$97.96