Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $49.04 / $83.86	Facility		$17.04	$49.04	$83.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $17.96 / $30.07	Professional		$15.51	$17.96	$30.07
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 / $56.84 / $83.86	Facility		$17.04	$56.84	$83.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $23.98 / $82.81	Professional		$15.51	$23.98	$82.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $31.00 / $91.20	Professional		$22.60	$31.00	$91.20
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 Professional Modifier Low / Median / High Price $28.54 / $28.54 / $28.54	Professional		$28.54	$28.54	$28.54
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $12.29 / $31.36	Professional		$8.42	$12.29	$31.36