Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $56.91 / $83.86	Facility		$16.23	$56.91	$83.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $16.23 / $128.91	Professional		$14.84	$16.23	$128.91
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 $15.64 / $15.64 / $15.64	Professional		$15.64	$15.64	$15.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $30.46 / $66.28	Facility		$19.02	$30.46	$66.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $19.23 / $45.18	Professional		$11.69	$19.23	$45.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $27.07 / $38.10	Professional		$11.93	$27.07	$38.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $56.91 / $83.86	Facility		$17.04	$56.91	$83.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $17.96 / $82.81	Professional		$14.84	$17.96	$82.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $30.07 / $131.19	Professional		$22.60	$30.07	$131.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $33.35 / $66.28	Facility		$19.52	$33.35	$66.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $21.38 / $45.18	Professional		$12.58	$21.38	$45.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $20.05 / $20.05	Facility		$20.05	$20.05	$20.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $20.05 / $20.45	Professional		$20.05	$20.05	$20.45
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $12.39 / $36.69	Professional		$8.42	$12.39	$36.69