Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.67 / $68.41 / $122.19	Facility		$23.67	$68.41	$122.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $23.67 / $41.43	Professional		$17.09	$23.67	$41.43
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $100.92 / $134.49 / $8,459.92	Facility		$100.92	$134.49	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $22.79 / $22.79	Professional		$22.79	$22.79	$22.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.48 / $43.05 / $96.71	Facility		$23.48	$43.05	$96.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $26.52 / $53.77	Professional		$13.14	$26.52	$53.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $39.45 / $55.52	Professional		$17.38	$39.45	$55.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $24.84 / $82.85 / $120.68	Facility		$24.84	$82.85	$120.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $24.84 / $120.68	Professional		$19.22	$24.84	$120.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $32.10 / $56.00	Professional		$23.40	$32.10	$56.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $23.48 / $44.57 / $96.71	Facility		$23.48	$44.57	$96.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $27.29 / $53.97	Professional		$13.14	$27.29	$53.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $29.22 / $29.22	Facility		$29.22	$29.22	$29.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.71 / $29.22 / $29.22	Professional		$25.71	$29.22	$29.22
United Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $17.53 / $39.01	Professional		$12.27	$17.53	$39.01