Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $140.60 / $207.42	Facility		$40.17	$140.60	$207.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $40.65 / $318.86	Professional		$36.70	$40.65	$318.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $233.66 / $311.36 / $8,459.92	Facility		$233.66	$311.36	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $38.68 / $38.68	Professional		$38.68	$38.68	$38.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $73.04 / $164.08	Facility		$47.06	$73.04	$164.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $52.93 / $111.83	Professional		$26.06	$52.93	$111.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $66.95 / $94.22	Professional		$29.50	$66.95	$94.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.15 / $140.60 / $207.42	Facility		$42.15	$140.60	$207.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $44.40 / $204.81	Professional		$36.70	$44.40	$204.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.39 / $74.39 / $99.18	Professional		$73.39	$74.39	$99.18
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $48.17 / $82.49 / $164.08	Facility		$48.17	$82.49	$164.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $57.28 / $111.83	Professional		$29.38	$57.28	$111.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $49.59 / $49.59 / $74.98	Facility		$49.59	$49.59	$74.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $49.59 / $74.98	Professional		$49.59	$49.59	$74.98
United Facility/Professional Facility Modifier Low / Median / High Price $44.63 / $59.51 / $59.51	Facility		$44.63	$59.51	$59.51
United Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $29.75 / $75.77	Professional		$20.83	$29.75	$75.77