Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.83 / $118.57 / $174.65	Facility		$33.83	$118.57	$174.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $34.24 / $172.47	Professional		$32.29	$34.24	$172.47
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $210.52 / $280.52 / $8,459.92	Facility		$210.52	$280.52	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $32.57 / $32.57	Professional		$32.57	$32.57	$32.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $61.92 / $139.09	Facility		$39.61	$61.92	$139.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $40.29 / $94.79	Professional		$24.45	$40.29	$94.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $56.38 / $79.34	Professional		$24.85	$56.38	$79.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $35.50 / $118.57 / $174.65	Facility		$35.50	$118.57	$174.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $48.02 / $172.47	Professional		$31.32	$48.02	$172.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $58.80 / $69.30	Professional		$47.00	$58.80	$69.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $40.61 / $67.47 / $139.09	Facility		$40.61	$67.47	$139.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $44.87 / $94.79	Professional		$26.25	$44.87	$94.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $41.76 / $41.76	Facility		$41.76	$41.76	$41.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $41.76 / $42.60	Professional		$41.76	$41.76	$42.60
United Facility/Professional Facility Modifier Low / Median / High Price $37.58 / $50.11 / $50.11	Facility		$37.58	$50.11	$50.11
United Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $25.06 / $73.14	Professional		$17.54	$25.06	$73.14