Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.98 / $158.79 / $242.57	Facility		$46.98	$158.79	$242.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $46.98 / $239.54	Professional		$15.51	$46.98	$239.54
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 $45.24 / $45.24 / $45.24	Professional		$45.24	$45.24	$45.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $84.33 / $169.65	Facility		$37.70	$84.33	$169.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $27.20 / $86.83	Professional		$12.58	$27.20	$86.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $78.30 / $110.20	Professional		$34.51	$78.30	$110.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $49.30 / $158.79 / $239.54	Facility		$49.30	$158.79	$239.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $49.30 / $239.54	Professional		$23.42	$49.30	$239.54
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 $37.70 / $84.33 / $192.33	Facility		$37.70	$84.33	$192.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $27.22 / $86.83	Professional		$12.64	$27.22	$86.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $58.00 / $58.00	Facility		$58.00	$58.00	$58.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $58.00 / $58.00	Professional		$28.54	$58.00	$58.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $34.79 / $72.50	Professional		$16.80	$34.79	$72.50