Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.75 / $132.13 / $194.87	Facility		$37.75	$132.13	$194.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $38.21 / $299.64	Professional		$36.81	$38.21	$299.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $182.54 / $243.24 / $8,459.92	Facility		$182.54	$243.24	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $36.35 / $36.35	Professional		$36.35	$36.35	$36.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.22 / $68.69 / $154.30	Facility		$44.22	$68.69	$154.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $49.77 / $105.16	Professional		$22.32	$49.77	$105.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $62.91 / $88.54	Professional		$27.73	$62.91	$88.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $132.13 / $192.46	Facility		$39.61	$132.13	$192.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $58.25 / $192.46	Professional		$34.95	$58.25	$192.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.97 / $69.90 / $93.20	Professional		$68.97	$69.90	$93.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $45.34 / $77.53 / $154.30	Facility		$45.34	$77.53	$154.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $49.94 / $105.16	Professional		$30.38	$49.94	$105.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $46.60 / $58.14	Facility		$46.60	$46.60	$58.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $46.60 / $58.14	Professional		$46.60	$46.60	$58.14
United Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $22.20 / $22.20	Facility		$22.20	$22.20	$22.20
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $27.96 / $65.23	Professional		$19.57	$27.96	$65.23