Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.07 / $133.25 / $196.57	Facility		$38.07	$133.25	$196.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.13 / $38.54 / $302.20	Professional		$37.13	$38.54	$302.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $162.33 / $216.32 / $8,459.92	Facility		$162.33	$216.32	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $36.65 / $36.65	Professional		$36.65	$36.65	$36.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $69.65 / $156.47	Facility		$44.60	$69.65	$156.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $50.31 / $106.64	Professional		$22.22	$50.31	$106.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $63.45 / $89.30	Professional		$27.97	$63.45	$89.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $39.95 / $133.25 / $196.57	Facility		$39.95	$133.25	$196.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $58.75 / $194.11	Professional		$35.25	$58.75	$194.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $70.50 / $94.00	Professional		$69.56	$70.50	$94.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $78.19 / $156.47	Facility		$45.65	$78.19	$156.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $50.47 / $106.64	Professional		$30.61	$50.47	$106.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $47.00 / $175.30	Facility		$47.00	$47.00	$175.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $47.00 / $175.30	Professional		$47.00	$47.00	$175.30
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $28.20 / $86.01	Professional		$19.73	$28.20	$86.01