Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.07 / $136.75 / $201.75	Facility		$39.07	$136.75	$201.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $39.07 / $310.18	Professional		$27.16	$39.07	$310.18
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 $37.63 / $37.63 / $37.63	Professional		$37.63	$37.63	$37.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.70 / $71.11 / $159.72	Facility		$39.70	$71.11	$159.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $44.19 / $85.35	Professional		$22.05	$44.19	$85.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $65.12 / $91.66	Professional		$28.70	$65.12	$91.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $136.75 / $201.75	Facility		$41.00	$136.75	$201.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $41.00 / $199.23	Professional		$32.47	$41.00	$199.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $58.30 / $96.48	Professional		$39.50	$58.30	$96.48
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $39.70 / $71.47 / $159.72	Facility		$39.70	$71.47	$159.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $44.51 / $85.35	Professional		$22.10	$44.51	$85.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $48.24 / $48.24 / $48.24	Facility		$48.24	$48.24	$48.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $48.24 / $49.20	Professional		$48.24	$48.24	$49.20
United Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $28.94 / $67.54	Professional		$20.26	$28.94	$67.54