Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $84.49 / $124.62	Facility		$24.14	$84.49	$124.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $24.14 / $191.61	Professional		$15.51	$24.14	$191.61
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 $23.24 / $23.24 / $23.24	Professional		$23.24	$23.24	$23.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $44.02 / $98.88	Facility		$22.64	$44.02	$98.88
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 $17.73 / $40.22 / $56.62	Professional		$17.73	$40.22	$56.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $84.49 / $124.62	Facility		$25.33	$84.49	$124.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $25.33 / $123.07	Professional		$18.77	$25.33	$123.07
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 / $46.06 / $98.88	Facility		$22.64	$46.06	$98.88
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 $29.80 / $29.80 / $29.80	Facility		$29.80	$29.80	$29.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $29.80 / $29.80	Professional		$28.54	$29.80	$29.80
United Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $17.88 / $54.53	Professional		$12.52	$17.88	$54.53