Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.70 / $121.61 / $179.15	Facility		$34.70	$121.61	$179.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $35.13 / $275.45	Professional		$33.15	$35.13	$275.45
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $216.01 / $287.83 / $8,459.92	Facility		$216.01	$287.83	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $33.42 / $33.42	Professional		$33.42	$33.42	$33.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $63.37 / $142.35	Facility		$40.65	$63.37	$142.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $41.23 / $97.02	Professional		$25.06	$41.23	$97.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $57.83 / $81.40	Professional		$25.49	$57.83	$81.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $121.61 / $179.15	Facility		$36.40	$121.61	$179.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $38.35 / $176.93	Professional		$32.13	$38.35	$176.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $60.30 / $76.47	Professional		$36.40	$60.30	$76.47
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $41.56 / $69.20 / $142.35	Facility		$41.56	$69.20	$142.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $45.92 / $97.02	Professional		$26.87	$45.92	$97.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Facility		$42.84	$42.84	$42.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $43.70	Professional		$42.84	$42.84	$43.70
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $25.70 / $70.13	Professional		$17.98	$25.70	$70.13