Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.32 / $85.12 / $125.57	Facility		$24.32	$85.12	$125.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $24.32 / $193.09	Professional		$15.51	$24.32	$193.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $101.10 / $134.72 / $8,459.92	Facility		$101.10	$134.72	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $23.42 / $23.42	Professional		$23.42	$23.42	$23.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $44.50 / $99.97	Facility		$22.64	$44.50	$99.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $25.35 / $48.32	Professional		$12.58	$25.35	$48.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $40.54 / $57.06	Professional		$17.87	$40.54	$57.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $85.12 / $125.57	Facility		$25.53	$85.12	$125.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $25.53 / $124.02	Professional		$18.92	$25.53	$124.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $28.20 / $33.29	Professional		$22.60	$28.20	$33.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $46.56 / $99.97	Facility		$22.64	$46.56	$99.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $26.02 / $48.32	Professional		$12.64	$26.02	$48.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $30.03 / $30.03	Facility		$30.03	$30.03	$30.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $30.03 / $30.03	Professional		$28.54	$30.03	$30.03
United Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $18.02 / $40.10	Professional		$12.61	$18.02	$40.10