Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.29 / $109.27 / $199.70	Facility		$25.29	$109.27	$199.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $25.29 / $200.75	Professional		$15.51	$25.29	$200.75
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 $24.35 / $24.35 / $24.35	Professional		$24.35	$24.35	$24.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $45.95 / $103.23	Facility		$22.64	$45.95	$103.23
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 $18.57 / $42.15 / $59.32	Professional		$18.57	$42.15	$59.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $26.54 / $88.52 / $130.55	Facility		$26.54	$88.52	$130.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $26.54 / $128.94	Professional		$19.67	$26.54	$128.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $31.00 / $112.80	Professional		$22.60	$31.00	$112.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $48.57 / $103.23	Facility		$22.64	$48.57	$103.23
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 $31.22 / $31.22 / $31.22	Facility		$31.22	$31.22	$31.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $31.22 / $31.22	Professional		$28.54	$31.22	$31.22
United Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $37.46 / $37.46	Facility		$28.10	$37.46	$37.46
United Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $18.73 / $41.68	Professional		$13.11	$18.73	$41.68