Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.15 / $158.03 / $233.10	Facility		$45.15	$158.03	$233.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $45.15 / $230.21	Professional		$34.36	$45.15	$230.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $210.52 / $280.52 / $8,459.92	Facility		$210.52	$280.52	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $43.48 / $43.48 / $43.48	Professional		$43.48	$43.48	$43.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $82.23 / $184.72	Facility		$47.25	$82.23	$184.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $51.33 / $101.04	Professional		$25.82	$51.33	$101.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.17 / $75.25 / $105.91	Professional		$33.17	$75.25	$105.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.38 / $158.03 / $233.10	Facility		$47.38	$158.03	$233.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $49.93 / $230.21	Professional		$38.64	$49.93	$230.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $69.30 / $111.48	Professional		$47.00	$69.30	$111.48
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $85.01 / $184.72	Facility		$47.25	$85.01	$184.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $52.76 / $101.04	Professional		$26.25	$52.76	$101.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $55.74 / $55.74	Facility		$55.74	$55.74	$55.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $55.74 / $56.85	Professional		$55.74	$55.74	$56.85
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $33.44 / $74.42	Professional		$23.41	$33.44	$74.42