Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.77 / $73.58 / $112.45	Facility		$21.77	$73.58	$112.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $21.77 / $172.84	Professional		$15.51	$21.77	$172.84
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 $20.97 / $20.97 / $20.97	Professional		$20.97	$20.97	$20.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $39.65 / $89.10	Facility		$22.64	$39.65	$89.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $24.73 / $48.32	Professional		$12.43	$24.73	$48.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $36.29 / $51.07	Professional		$16.00	$36.29	$51.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $73.58 / $112.45	Facility		$22.85	$73.58	$112.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $22.85 / $111.01	Professional		$18.25	$22.85	$111.01
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 $22.64 / $41.56 / $89.10	Facility		$22.64	$41.56	$89.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $25.35 / $48.32	Professional		$12.58	$25.35	$48.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $26.88 / $26.88	Facility		$26.88	$26.88	$26.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $26.88 / $27.42	Professional		$26.88	$26.88	$27.42
United Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $32.26 / $32.26	Facility		$24.19	$32.26	$32.26
United Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $16.13 / $49.19	Professional		$11.29	$16.13	$49.19