Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.84 / $111.59 / $164.38	Facility		$31.84	$111.59	$164.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $32.22 / $252.76	Professional		$31.05	$32.22	$252.76
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $135.77 / $180.92 / $8,459.92	Facility		$135.77	$180.92	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $30.66 / $30.66	Professional		$30.66	$30.66	$30.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $58.05 / $130.38	Facility		$37.29	$58.05	$130.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $41.98 / $88.87	Professional		$18.51	$41.98	$88.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $53.07 / $74.69	Professional		$23.39	$53.07	$74.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $111.59 / $164.38	Facility		$33.40	$111.59	$164.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $49.14 / $231.57	Professional		$29.48	$49.14	$231.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.18 / $58.97 / $78.62	Professional		$58.18	$58.97	$78.62
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.33 / $65.40 / $130.38	Facility		$38.33	$65.40	$130.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $42.06 / $88.87	Professional		$25.62	$42.06	$88.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $112.05	Facility		$39.31	$39.31	$112.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $112.05	Professional		$39.31	$39.31	$112.05
United Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $23.59 / $58.97	Professional		$16.51	$23.59	$58.97