Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $62.16 / $91.69	Facility		$17.76	$62.16	$91.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $17.76 / $140.94	Professional		$15.51	$17.76	$140.94
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 $17.10 / $17.10 / $17.10	Professional		$17.10	$17.10	$17.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $32.40 / $72.80	Facility		$20.81	$32.40	$72.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $21.09 / $48.32	Professional		$11.69	$21.09	$48.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $29.59 / $41.65	Professional		$13.04	$29.59	$41.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $62.16 / $91.69	Facility		$18.63	$62.16	$91.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $18.63 / $90.53	Professional		$15.78	$18.63	$90.53
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 $21.38 / $36.47 / $72.80	Facility		$21.38	$36.47	$72.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $23.48 / $48.32	Professional		$12.58	$23.48	$48.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $21.92 / $21.92	Facility		$21.92	$21.92	$21.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $21.92 / $22.36	Professional		$21.92	$21.92	$22.36
United Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $26.30 / $26.30	Facility		$19.73	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $13.15 / $32.88	Professional		$9.21	$13.15	$32.88