Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.48 / $160.47 / $245.17	Facility		$47.48	$160.47	$245.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $47.48 / $376.93	Professional		$35.26	$47.48	$376.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $216.01 / $287.83 / $8,459.92	Facility		$216.01	$287.83	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $45.72 / $45.72 / $45.72	Professional		$45.72	$45.72	$45.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.37 / $86.58 / $194.50	Facility		$48.37	$86.58	$194.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $54.13 / $103.55	Professional		$26.87	$54.13	$103.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $79.14 / $111.38	Professional		$34.88	$79.14	$111.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $49.83 / $160.47 / $245.17	Facility		$49.83	$160.47	$245.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.64 / $49.83 / $242.10	Professional		$39.64	$49.83	$242.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $60.30 / $71.09	Professional		$48.20	$60.30	$71.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $48.37 / $87.22 / $194.50	Facility		$48.37	$87.22	$194.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $54.14 / $103.55	Professional		$27.06	$54.14	$103.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $58.62 / $58.62 / $58.62	Facility		$58.62	$58.62	$58.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $58.62 / $59.79	Professional		$58.62	$58.62	$59.79
United Facility/Professional Facility Modifier Low / Median / High Price $52.76 / $70.34 / $70.34	Facility		$52.76	$70.34	$70.34
United Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $35.17 / $78.27	Professional		$24.62	$35.17	$78.27