Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.80 / $111.30 / $164.22	Facility		$31.80	$111.30	$164.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $31.80 / $252.44	Professional		$27.16	$31.80	$252.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $177.01 / $235.88 / $8,459.92	Facility		$177.01	$235.88	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $30.62 / $30.62	Professional		$30.62	$30.62	$30.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.26 / $58.05 / $130.38	Facility		$37.26	$58.05	$130.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $37.77 / $85.35	Professional		$20.61	$37.77	$85.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $53.00 / $74.59	Professional		$23.36	$53.00	$74.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $111.30 / $164.22	Facility		$33.36	$111.30	$164.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $33.36 / $162.13	Professional		$28.27	$33.36	$162.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $49.40 / $58.30	Professional		$39.50	$49.40	$58.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.10 / $60.58 / $130.38	Facility		$38.10	$60.58	$130.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $41.84 / $85.35	Professional		$22.05	$41.84	$85.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $39.26 / $39.26	Facility		$39.26	$39.26	$39.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $39.26 / $40.04	Professional		$39.26	$39.26	$40.04
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $23.56 / $57.46	Professional		$16.48	$23.56	$57.46