Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.31 / $151.59 / $223.62	Facility		$43.31	$151.59	$223.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.77 / $43.31 / $70.59	Professional		$28.77	$43.31	$70.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $176.29 / $234.91 / $8,459.92	Facility		$176.29	$234.91	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $41.71 / $41.71	Professional		$41.71	$41.71	$41.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.42 / $77.76 / $177.12	Facility		$39.42	$77.76	$177.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $44.19 / $84.72	Professional		$21.90	$44.19	$84.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $72.18 / $101.59	Professional		$31.82	$72.18	$101.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $151.59 / $223.62	Facility		$45.45	$151.59	$223.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.69 / $46.00 / $220.83	Professional		$33.69	$46.00	$220.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $53.47 / $95.44	Professional		$45.45	$53.47	$95.44
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $39.42 / $77.76 / $177.12	Facility		$39.42	$77.76	$177.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $45.04 / $84.72	Professional		$22.10	$45.04	$84.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $53.47 / $53.47 / $53.47	Facility		$53.47	$53.47	$53.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.76 / $53.47 / $53.47	Professional		$49.76	$53.47	$53.47
United Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $32.08 / $66.84	Professional		$22.46	$32.08	$66.84