Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $74.70 / $114.14	Facility		$22.10	$74.70	$114.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $22.10 / $175.48	Professional		$15.51	$22.10	$175.48
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 $21.29 / $21.29 / $21.29	Professional		$21.29	$21.29	$21.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $40.15 / $90.19	Facility		$22.64	$40.15	$90.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $25.24 / $48.32	Professional		$12.58	$25.24	$48.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $36.84 / $51.85	Professional		$16.23	$36.84	$51.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.20 / $74.70 / $114.14	Facility		$23.20	$74.70	$114.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $23.20 / $112.71	Professional		$18.25	$23.20	$112.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $33.29 / $54.58	Professional		$22.60	$33.29	$54.58
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $42.06 / $90.19	Facility		$22.64	$42.06	$90.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $25.35 / $48.32	Professional		$12.64	$25.35	$48.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.29 / $27.29 / $27.29	Facility		$27.29	$27.29	$27.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $27.29 / $27.84	Professional		$27.29	$27.29	$27.84
United Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $16.37 / $40.94	Professional		$11.46	$16.37	$40.94